NCLEX-RN Practice Questions

A nurse is caring for a client who returns from a thyroidectomy. The client suddenly develops stridor, neck swelling, and reports difficulty swallowing. Which action should the nurse take first?

A nurse reviews the ECG tracing of a client receiving IV potassium replacement. The rhythm shows a widened QRS and peaked T waves. The most recent serum potassium is 6.2 mEq/L. Which action should the nurse take first?

A registered nurse is preparing assignments for an unlicensed assistive personnel (UAP). Which task is appropriate to delegate to the UAP?

A nurse assesses a client and finds a shallow, open wound on the coccyx with a pink-red wound bed and no slough or necrotic tissue. The wound does not extend through the dermis. How should the nurse document this wound?

A nurse enters the room of a client recently told their cancer has metastasized. The client says, 'I don't understand why this is happening to me. I've done everything right.' Which response by the nurse is most therapeutic?

A nurse is caring for a client who takes warfarin for atrial fibrillation. The client arrives with sudden severe headache rated 10/10, vomiting, and right-sided weakness. The INR drawn in triage is 4.8. Which medication should the nurse anticipate administering first?

A nurse is comparing laboratory findings for two clients on a neuro unit. Client A has serum sodium 128 mEq/L, urine specific gravity 1.030, and urine osmolality 650 mOsm/kg. Client B has serum sodium 155 mEq/L, urine specific gravity 1.001, and urine output of 400 mL/hr. Which disorder does each client most likely have?

A nurse is assigned to care for four clients. Which client requires contact precautions in addition to standard precautions?