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
The nurse knows which of the following would be MOST likely to help the family of an emotionally disturbed client manage behaviors at home after discharge from inpatient treatment?
Correct Answer: A
Rationale: this group provides ongoing support and educational information; people who attend have common needs and goals focused on managing the clients’ behavior at home
Question 3 of 5
A client with rheumatoid arthritis is receiving injections of Myochrysine (gold sodium thiomalate). Before administering the client's medication, the nurse should:
Correct Answer: A
Rationale: Checking lab work is essential to monitor for toxicity, such as renal or hematologic effects, from gold therapy.
Question 4 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.
Question 5 of 5
The client admitted 2 days earlier with a lung resection accidentally pulls out the chest tube. Which action by the nurse indicates understanding of the management of chest tubes?
Correct Answer: C
Rationale: Covering the insertion site with Vaseline gauze prevents air from entering the pleural space, which is the priority action for a dislodged chest tube.