NCLEX-RN
NCLEX RN Practice Questions Questions
Extract:
Question 1 of 5
Which one of the following clients is most likely to develop acute respiratory distress syndrome?
Correct Answer: D
Rationale: Barbiturate overdose can lead to ARDS due to prolonged hypoventilation, causing lung injury from hypoxia and aspiration risk.
Question 2 of 5
The nurse is caring for a postpartum client. Which of the following assessment findings would be a reason for concern during the client's postpartum stay?
Correct Answer: C
Rationale: Vaginal discharge should progress from rubra to serosa to alba. Reverting to rubra suggests possible retained placental fragments or bleeding, a cause for concern.
Question 3 of 5
The nurse is monitoring a client following postoperative cardiac catheterization and is checking the client's oxygen saturation (SPO2) per pulse oximetry. The nurse recognizes that the SPO2 should be maintained above what percentage in most clients to ensure adequate oxygenation? Record your answer using a whole number.
Correct Answer: 92
Rationale: SPO2 should be maintained above 92% in most clients to ensure adequate oxygenation, especially post-procedure.
Question 4 of 5
A client was transferred to the hospital unit as a direct admit from a small community hospital. While the nurse is obtaining part of the admission history information, the client suddenly becomes semiconscious. Assessment reveals a systolic BP of 70, heart rate of 130, and respiratory rate of 24. What is the nurse's initial action?
Correct Answer: B
Rationale: The client's symptoms suggest shock (low BP, high HR, elevated RR). Initiating an IV with a large bore needle allows for rapid fluid resuscitation, which is critical. Lowering the bed may worsen perfusion, notifying the physician delays action, and CPR is premature without pulselessness.
Question 5 of 5
A client with a history of abusing barbiturates abruptly stops taking the medication. The nurse should give priority to assessing the client for:
Correct Answer: B
Rationale: Abrupt cessation of barbiturates can cause withdrawal symptoms like tachycardia and diarrhea due to central nervous system hyperactivity.