NCLEX-RN
NCLEX RN Practice Questions
Extract:
Question 1 of 5
The nurse would recognize which symptom as the most likely early indication of pneumonia in an elderly client?
Correct Answer: D
Rationale: Altered mental status is often the earliest sign of pneumonia in the elderly, as they may not present with typical symptoms like fever or chest pain.
Question 2 of 5
A client with a fractured tibia has a plaster-of-Paris cast applied to immobilize the fracture. Which action by the nurse indicates understanding of a plaster-of-Paris cast? The nurse:
Correct Answer: D
Rationale: Allowing 24 hours for the cast to dry prevents damage and ensures proper immobilization.
Question 3 of 5
A client is admitted to the emergency room with complaints of substernal chest pain radiating to the left jaw. Which ECG finding is suggestive of acute myocardial infarction?
Correct Answer: B
Rationale: ST segment changes, such as elevation or depression, are characteristic ECG findings in acute myocardial infarction.
Question 4 of 5
The client is admitted from the emergency room with multiple injuries sustained from an auto accident. His doctor prescribes a histamine blocker. The nurse is aware that the reason for this order is to:
Correct Answer: C
Rationale: Histamine blockers (e.g., famotidine) are used post-trauma to prevent stress ulcers due to increased gastric acid production.
Question 5 of 5
The nurse is caring for a client with a radium implant for the treatment of cervical cancer. While caring for the client with a radioactive implant, the nurse should:
Correct Answer: B
Rationale: Standing at the foot of the bed minimizes radiation exposure by maximizing distance, adhering to radiation safety principles.