NCLEX-RN
NCLEX RN Practice Questions Questions
Extract:
Question 1 of 5
Which nurse should not be assigned to care for the client with a radium implant for vaginal cancer?
Correct Answer: B
Rationale: Pregnant nurses should avoid caring for clients with radium implants due to the risk of radiation exposure to the fetus.
Question 2 of 5
A post-operative client has an order for Demerol (meperidine) 75 mg and Phenergan (promethazine) 25 mg IM every 3-4 hours as needed for pain. The combination of the two medications produces a/an:
Correct Answer: B
Rationale: Demerol (opioid) and Phenergan (antihistamine) together produce a synergistic effect, enhancing pain relief and sedation beyond the sum of their individual effects.
Question 3 of 5
Nurses are expected to understand the principles of triage when caring for multiple clients. The ICU charge nurse is reviewing assignments. Based on the principles of triage, to which client would the charge nurse give priority for treatment? Select all that apply.
Correct Answer: A,D,E
Rationale: A ventilator alarm, unresponsiveness, and tingling (possible anaphylaxis) indicate life-threatening conditions requiring immediate attention. Other clients are stable or less urgent.
Question 4 of 5
The nurse is caring for a client scheduled for a surgical repair of a sacular abdominal aortic aneurysm. Which assessment is most crucial during the preoperative period?
Correct Answer: C
Rationale: Identifying peripheral pulses is critical to assess baseline circulation, as an abdominal aortic aneurysm can affect distal blood flow.
Question 5 of 5
The nurse is caring for a client following the reimplantation of the thumb and index finger. Which finding should be reported to the physician immediately?
Correct Answer: B
Rationale: Coolness and discoloration of reimplanted digits indicate compromised blood flow, requiring immediate reporting to prevent tissue loss.