NCLEX-RN
NCLEX RN Practice Exam Questions
Extract:
Question 1 of 5
A 15-year-old client was involved in an auto accident and requires emergency surgery to control bleeding, but both parents are out of town and unable to sign the consent form. Which of the following is the most appropriate action?
Correct Answer: D
Rationale: In an emergency where a minor requires life-saving surgery and parents are unavailable, the physician can proceed without consent (
D) to save the client's life. Client consent (
A), telephone consent (
B), or email consent (
C) are not appropriate in this urgent situation.
Question 2 of 5
The nurse is responsible for performing a neonatal assessment on a fullterm infant. At 1 minute, the nurse could expect to find:
Correct Answer: C
Rationale: Acrocyanosis (cyanosis of hands and feet) is normal in newborns at 1 minute due to immature circulation.
Question 3 of 5
The nurse is working with a client in the psychiatric unit. The client has memory gaps, which she fills in with detailed fantasies that she believes to be true. The nurse understands that the client is exhibiting which type of abnormal thought process?
Correct Answer: B
Rationale: Confabulation involves filling memory gaps with fabricated details believed to be true, common in certain psychiatric or neurological conditions.
Question 4 of 5
The client returns to the recovery room following repair of an abdominal aneurysm. Which finding would require further investigation?
Correct Answer: B
Rationale: Low urinary output (20 mL/hour) may indicate renal impairment or hypoperfusion, requiring further investigation.
Question 5 of 5
When determining whether or not a client is a candidate for restraints, which of the following would be considered an appropriate reason for a restraint?
Correct Answer: A
Rationale: Restraints are justified for current dangerous behavior (
A) posing immediate risk to self or others. History of falls (
B), past violence (
C), or non-cooperation (
D) do not warrant restraints.