NCLEX-RN
NCLEX RN Practice Questions Quizlet Questions
Extract:
Question 1 of 5
Which set of vital signs would best indicate an increase in intracranial pressure?
Correct Answer: A
Rationale: Increased intracranial pressure (ICP) is indicated by Cushing's triad: widened pulse pressure (e.g., BP 180/70), bradycardia (pulse 50), and irregular respirations. Temperature elevation may occur but is less specific.
Question 2 of 5
The client returns to the unit from surgery with a blood pressure of 90/50, pulse 132, respirations 30. Which action by the nurse should receive priority?
Correct Answer: B
Rationale: Hypotension and tachycardia suggest shock, requiring immediate physician notification.
Question 3 of 5
A client with diverticulitis fills out her lunch menu after instruction from the nurse on proper diet. Which selection by the client demonstrates the need for further teaching?
Correct Answer: C
Rationale: Creamy peanut butter is high-fat and low-fiber, which can exacerbate diverticulitis. Other options are low-residue and appropriate.
Question 4 of 5
A nurse is working at a summer camp for teenagers. Before the camp hiking trip, the nurse creates a presentation about how to prevent Lyme disease. The nurse would include which of the following in the presentation? Select all that apply.
Correct Answer: C,E
Rationale: DEET repellent and tucking pants into socks prevent tick bites. Dark colors attract ticks, rinsing clothes is insufficient, and petroleum jelly is ineffective for tick removal.
Question 5 of 5
The nurse is precepting a student nurse on the postsurgical floor. The student nurse needs to draw a potassium level. Which of the following statements by the student nurse is correct regarding blood draws from venous catheters?
Correct Answer: B
Rationale: Flushing with 10–20 mL of saline after drawing blood from a catheter prevents clotting and maintains patency. Peripheral catheters are not ideal for blood draws, central lines carry risks, and large needles can cause hemolysis.