NCLEX-RN
RN NCLEX Practice Questions Questions
Extract:
Question 1 of 5
Which assessment finding would the nurse expect in a client with long-term venous insufficiency with the presence of a venous ulcer?
Correct Answer: B
Rationale: Venous insufficiency causes stasis ulcers, typically over the medial malleolus, due to venous pooling and tissue breakdown.
Question 2 of 5
The nurse is assessing an ECG strip of a 42-year-old client and finds a regular rate greater than 100, a normal QRS complex, a normal P wave in front of each QRS, a PR interval between 0.12 and 0.20 seconds, and a P: QRS ratio of 1:1. What is the nurse's interpretation of this rhythm?
Correct Answer: B
Rationale: A regular rate >100 with normal P waves, QRS complexes, and PR interval indicates sinus tachycardia, a common response to stress, fever, or hypoxia.
Question 3 of 5
Upon entering the client's room the nurse discovers a dose of amoxicillin at the bedside. Which of the following should the nurse do?
Correct Answer: A
Rationale: Documenting in the medical record and filing an incident report address the medication error and ensure follow-up for patient safety.
Question 4 of 5
The nurse is caring for a client with cerebral palsy. The nurse should provide frequent rest periods because:
Correct Answer: A
Rationale: Rest reduces spasticity and involuntary movements in cerebral palsy.
Question 5 of 5
A client with $B$ positive blood is scheduled for a transfusion of whole blood. Which finding requires nursing intervention?
Correct Answer: B
Rationale: Transfusing Rh-negative blood to an Rh-positive client can cause incompatibility reactions, requiring intervention to ensure Rh compatibility.