NCLEX-RN
NCLEX RN Practice Tests Questions
Extract:
Question 1 of 5
The physician has inserted an esophageal balloon tamponade in a client with bleeding esophageal varices. The nurse should maintain the esophageal balloon at a pressure of:
Correct Answer: D
Rationale: A pressure of 20-25 mmHg effectively compresses varices to control bleeding without causing tissue damage.
Question 2 of 5
A client with schizophrenia spends much of his time pacing the floor, rocking back and forth, and moving from one foot to another. The client's behaviors are an example of:
Correct Answer: C
Rationale: Akathisia is characterized by restlessness and constant movement, often a side effect of antipsychotic medications, as described.
Question 3 of 5
The nurse is performing discharge teaching on a client with diverticulitis who has been placed on a low-roughage diet. Which food would have to be eliminated from this client's diet?
Correct Answer: C
Rationale: Cooked broccoli is high in fiber and should be avoided on a low-roughage diet for diverticulitis to prevent irritation.
Question 4 of 5
The nurse is working on a neurological unit. If the following events occur simultaneously, which would receive RN priority?
Correct Answer: A
Rationale: Sudden weakness in a client with a cerebral aneurysm suggests possible rupture or neurological deterioration, a life-threatening emergency requiring immediate attention.
Question 5 of 5
The nurse is caring for an elderly client who presents to the ED with poor appetite, confusion, and weakness. Lab work is ordered for the client. The nurse should immediately notify the health care provider for which lab result?
Correct Answer: C
Rationale: Severe hyponatremia (sodium 118 mEq/L) can cause confusion and weakness and requires immediate provider notification. Other values are within normal ranges.