NCLEX-RN
NCLEX RN Practice Questions
Extract:
Question 1 of 5
While caring for a client with hypertension, the nurse notes the following vital signs: BP of 140/20, pulse 120, respirations 36, temperature 100.8°F. The nurse's initial action should be to:
Correct Answer: B
Rationale: Rechecking vital signs ensures accuracy, as the low diastolic BP may be an error, and guides further action.
Question 2 of 5
The physician has ordered lab work for a client with suspected disseminated intravascular coagulation (DIC). Which lab finding would provide a definitive diagnosis of DIC?
Correct Answer: C
Rationale: Fibrin split products (FSPs) are specific to DIC, indicating widespread clotting and fibrinolysis, confirming the diagnosis.
Question 3 of 5
A client with a fractured tibia has a plaster-of-Paris cast applied to immobilize the fracture. Which action by the nurse indicates understanding of a plaster-of-Paris cast? The nurse:
Correct Answer: D
Rationale: Allowing 24 hours for the cast to dry prevents damage and ensures proper immobilization.
Question 4 of 5
The nurse is discussing cigarette smoking with an emphysema client. The client states, 'I don't know why I should worry about cancer.' The nurse's response is based on the fact that the most important reason for a client with emphysema to avoid smoking is that it:
Correct Answer: C
Rationale: Smoking destroys lung parenchyma in emphysema, worsening alveolar damage and impairing gas exchange, making it the primary reason to avoid smoking.
Question 5 of 5
A client is admitted with a Ewing's sarcoma. Which symptoms would be expected due to this tumor's location?
Correct Answer: D
Rationale: Ewing's sarcoma typically affects bones, causing localized bone pain as a primary symptom.