Auto-created from category assignment (NCLEX RECAP APRIL EXAM QUESTION).
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Bank category: NCLEX RECAP APRIL EXAM QUESTION
,1 Question 1
A client with suspected pulmonary embolism suddenly becomes anxious and
reports sharp chest pain and shortness of breath. Which prescription should the
nurse anticipate first?
☐ A. Broad-spectrum antibiotics
☑ B. Heparin infusion
☐ C. Oral potassium chloride
☐ D. Packed red blood cells
RATIONALE
A pulmonary embolism is caused by a clot blocking blood flow in the lungs. Heparin is given to
prevent the clot from growing and to prevent new clots from forming.
KEY TERMS EXPLAINED
Pulmonary embolism = blood clot lodged in the lungs
Heparin = anticoagulant medication
Anticoagulant = medication that reduces clotting
Dyspnea = shortness of breath
,2 Question 2
A client suddenly develops unilateral weakness and slurred speech. What is
thepriority action?
☐ A. Give aspirin
☐ B. Check blood pressure
☑ C. Activate stroke protocol
☐ D. Provide fluids
RATIONALE
These are signs of stroke. Immediate activation of stroke protocol is critical for rapid treatment.
KEY TERMS EXPLAINED
Stroke = brain blood flow interruption
FAST = stroke recognition
, 3 Question 3
A client post-thyroidectomy develops stridor. What is thepriority action?
☐ A. Administer pain medication
☑ B. Prepare for emergency airway management
☐ C. Elevate the head of bed
☐ D. Give calcium
RATIONALE
Stridor indicates airway obstruction. This is a medical emergency requiring immediate airway
support.
KEY TERMS EXPLAINED
Stridor = high-pitched airway sound
Airway obstruction = blocked airflow