NCLEX-PN
Emergency Nursing NCLEX Questions
Extract:
Question 1 of 5
The ED nurse is completing the initial assessment on a client who becomes unresponsive. Which intervention should the nurse implement first?
Correct Answer: C
Rationale: Assessing the cardiac rhythm determines the cause of unresponsiveness (e.g., arrhythmia), guiding ACLS interventions. IV checks, bicarbonate, and cardioversion follow.
Question 2 of 5
The school nurse is caring for a child with a deep laceration. Which intervention should the nurse implement first?
Correct Answer: B
Rationale: Direct pressure controls bleeding, the priority in deep lacerations. Cleaning, gloves, and parental notification follow hemostasis.
Question 3 of 5
The client has ingested a corrosive solution containing lye. Which intervention should the nurse implement?
Correct Answer: C
Rationale: Lye is corrosive, risking airway edema; assessing for compromise is critical. Ipecac is contraindicated, NG tubes are for non-corrosives, and water/milk may delay care.
Question 4 of 5
The nurse and an unlicensed assistive personnel (UAP) are caring for a group of clients on a medical floor. Which action by the UAP warrants intervention by the nurse?
Correct Answer: A
Rationale: Urine specimens are not biohazardous unless visibly bloody; placing in a biohazard bag is incorrect and requires intervention. Hand cleansing, linen handling, and stethoscope use are appropriate.
Question 5 of 5
The nurse is teaching a class about rape prevention to a group of women at a community center. Which information is not a myth about rape?
Correct Answer: C
Rationale: Rape is about power and control, not sexual desire, a fact. Provocative dressing, misinterpreting 'no,' and excluding male victims are myths.