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 client who is 2 weeks post-burn with a 40% deep partial-thickness injury still has open wounds. The nurse's assessment reveals the following findings: temperature 96.5°F, BP 87/40, and severe diarrhea stools. What problem does the nurse most likely suspect?
Correct Answer: C
Rationale: Hypothermia, hypotension, and diarrhea suggest systemic gram-negative infection, likely sepsis, due to bacterial translocation from open wounds or the gut in a burn patient.
Question 3 of 5
On the second post-operative day after a subtotal thyroidectomy, the client tells the nurse, 'I feel numbness and my face is twitching.' What is the nurse's best initial action?
Correct Answer: C
Rationale: Numbness and facial twitching suggest hypocalcemia due to parathyroid gland damage during thyroidectomy, requiring immediate physician notification for calcium supplementation.
Question 4 of 5
The nurse is preparing to administer a dose of lisinopril (Zestril) to a client with hypertension. The client’s blood pressure is 100/60 mmHg. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: lisinopril is an ACE inhibitor
Question 5 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.