NCLEX-RN
Free NCLEX RN Exam Practice Questions Questions
Extract:
Question 1 of 5
Which sign/symptom is an indication that the client experiencing postoperative blood loss is anemic?
Correct Answer: A
Rationale: The client with anemia is likely to report fatigue caused by deficient hemoglobin leading to a decreased oxygen-carrying capacity of the blood and ability to meet tissue oxygen demands. The respiratory rate can increase to improve oxygenation; some shortness of breath can occur but dyspnea related to anemia is uncommon. The client is more likely to have tachycardia than bradycardia, because the heart beats faster to deliver the same amount of oxygen to tissues in compensation for less oxygen in the blood. Muscle cramps are an unrelated finding.
Question 2 of 5
When cleaning the skin around an incision and drain site, which of the following procedures should the nurse follow?
Correct Answer: A
Rationale: Cleaning separately prevents cross-contamination between the incision and drain site, reducing infection risk.
Question 3 of 5
A client with a history of heart failure is admitted with dyspnea. Which position should the nurse place the client in?
Correct Answer: A
Rationale: Fowler's position (semi-upright) reduces preload and eases breathing in heart failure clients with dyspnea.
Question 4 of 5
A client with a suspected stroke is admitted to the emergency department. What is the nurse's priority action?
Correct Answer: B
Rationale: Assessing neurological status is the priority to establish a baseline and detect changes in a suspected stroke, guiding urgent interventions.
Question 5 of 5
A client with a history of burns is admitted with a 40% total body surface area injury. The nurse should prioritize which of the following interventions?
Correct Answer: A
Rationale: Fluid resuscitation is the priority to prevent hypovolemic shock in extensive burns.