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NCLEX-RN Exam Prep - 60 Essential Questions

Prepare for the NCLEX-RN nursing exam with 60 practice questions covering all major nursing domains with detailed rationales.

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Front

What is the priority nursing intervention for a suspected Pulmonary Embolism?

Back

Administer oxygen Sudden shortness of breath and chest pain indicate a life-threatening oxygenation issue.

Front

What is a hallmark sign of Left-sided Heart Failure?

Back

Crackles in the lungs (pulmonary edema) The left side fails to pump to the body, causing fluid to back up into the lungs.

Front

What is a hallmark sign of Right-sided Heart Failure?

Back

Peripheral edema and JVD The right side fails to pump to the lungs, causing fluid to back up into the systemic circulation.

Front

What is the priority assessment for a patient immediately post-op?

Back

Airway patency Always follow ABCs (Airway, Breathing, Circulation) in the PACU.

Front

What are the three components of the Glasgow Coma Scale (GCS)?

Back

Eye opening, Verbal response, Motor response Scores range from 3 to 15; a score of 8 or less usually indicates coma.

Front

In disaster triage, what does a 'Red Tag' signify?

Back

Emergent/Immediate Life-threatening injuries that are treatable with immediate intervention (e.g., airway obstruction).

Front

Why is low-flow oxygen typically used for patients with COPD?

Back

To prevent suppressing the hypoxic drive to breathe High oxygen levels can cause respiratory arrest in chronic CO2 retainers.

Front

What is a key dietary instruction for a patient with GERD?

Back

Avoid lying down for 2-3 hours after eating Also avoid spicy foods, caffeine, and large meals before bed.

Front

Which electrolyte imbalance is most dangerous in Chronic Renal Failure?

Back

Hyperkalemia Can lead to lethal cardiac arrhythmias; treated with Kayexalate or insulin/glucose.

Front

What is the 'Rule of Nines' used for in burn patients?

Back

Estimating the percentage of Total Body Surface Area (TBSA) burned Crucial for calculating fluid resuscitation requirements.

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