Welcome to our NCLEX-RN Daily Ten Practice! This practice is designed to help you solidify your knowledge, improve your skills, and prepare thoroughly for the NCLEX-RN exam. With ten questions to tackle each day, you’ll have the opportunity to review a broad range of subjects covered in the NCLEX-RN exam.
1. In a busy urban emergency department during a holiday weekend, a triage nurse is faced with six clients arriving simultaneously, each presenting with distinct symptoms. The waiting room is crowded, and the nurse is aware that the ER is currently short-staffed. Given the symptoms, potential severity of each case, and the current ER situation, which client should the triage nurse prioritize to be seen first?
2. You’re a pediatric nurse working with a family who has recently adopted a 2-year-old child named Mia. This is the family’s first time adopting, and they are particularly concerned about ensuring they provide the right environment for her developmental needs. Mia is an active toddler who loves exploring but has had minor falls. During your nursing education session, you emphasized the importance of balancing safety, exploration, and skill development at this stage of Mia’s life. Which of the following statements made by Mia’s mother indicates that she has a clear understanding of her daughter’s developmental needs at this age?
3. In a specialized medical-surgical unit, you’re assigned to care for Mr. Johnson, a 72-year-old male who recently suffered a cerebrovascular accident (stroke) that has led to dysphagia. He is being temporarily nourished through a nasogastric (NG) feeding tube. His current medications include anticoagulants, and he has a history of peptic ulcer disease. Given the patient’s complex medical condition, what is the most important action for the nurse to take before administering an enteral feeding via the nasogastric feeding tube?
4. You are a nurse in the cardiac care unit caring for Mrs. Thompson, a 62-year-old female with a history of chronic kidney disease and hypertension. She has been admitted for acute heart failure and has a serum potassium level of 3.5 mEq/L, on the lower end of the normal range (3.5-5.0 mEq/L). Considering her clinical history and current condition, she is placed on a cardiac monitor and starts receiving an infusion of 40 mEq potassium chloride in 1000 ml of 5% dextrose in water IV. While monitoring her EKG, which of the following patterns should prompt you to discontinue the potassium infusion immediately?
5. While working in the pediatric oncology ward, Nurse Ramirez manages care for Leo, a 4-year-old boy newly diagnosed with rhabdomyosarcoma. Leo’s parents are anxious, as they’ve been reading extensively online and are overwhelmed with information. They express concerns about potential metastasis and how the cancer may affect Leo’s overall function. Given the primary site of rhabdomyosarcoma, Nurse Ramirez should emphasize monitoring the function of which area of the body and educate the family about its relevance.