NCLEX-RN
Practice NCLEX RN Test Questions
Extract:
Question 1 of 5
Upon admission to the hospital, a client reports having 'the worst headache I've ever had.' The nurse should give the highest priority to:
Correct Answer: C
Rationale: A sudden, severe headache may indicate a serious condition like subarachnoid hemorrhage. Neuro checks are the priority to assess for neurological changes.
Question 2 of 5
A client comes into the emergency room after a chemical splashed into her eye at work. The priority nursing intervention is to
Correct Answer: C
Rationale: Immediate irrigation with saline removes the chemical, preventing further eye damage. Other actions follow after irrigation.
Question 3 of 5
The nurse is observing the respirations of a client when she notes that the respiratory cycle is marked by periods of apnea lasting from 10 seconds to 1 minute. The apnea is followed by respirations that gradually increase in depth and frequency. The nurse should document that the client is experiencing:
Correct Answer: A
Rationale: Cheyne-Stokes respirations are characterized by periods of apnea followed by increasing depth and frequency of breaths.
Question 4 of 5
A client has recently lost her best friend to cancer. The client tells the nurse, 'I'm very sad about the loss of my friend.' Which of the following responses by the nurse is the most appropriate?
Correct Answer: D
Rationale: This response validates the client’s grief and encourages her to share, promoting therapeutic communication and emotional support.
Question 5 of 5
A client with Hodgkin's lymphoma is receiving Platinol (cisplatin). To help prevent nephrotoxicity, the nurse should:
Correct Answer: B
Rationale: Adequate hydration is critical to prevent cisplatin-induced nephrotoxicity by promoting renal excretion of the drug.