NCLEX-RN
NCLEX RN Practice Questions Quizlet Questions
Extract:
Question 1 of 5
A 16-year-old female has been sexually active for two years but was recently treated for a gonorrhea infection. The nurse is teaching the adolescent about safe sex practices. Which of the following statements by the adolescent indicate a need for more information? Select all that apply.
Correct Answer: A,C,D
Rationale: Abstinence until marriage (
A) dismisses the need for education, not using condoms for oral sex (
C) ignores STI risk, and confusion about birth control (
D) indicates a knowledge gap. Statements B and E are correct.
Question 2 of 5
A school nurse is suspicious that a child is being physically abused at home. The nurse's responsibility is to
Correct Answer: D
Rationale: Nurses are mandated reporters and must report suspected child abuse to local authorities for investigation, prioritizing child safety.
Question 3 of 5
The nurse is checking the client's central venous pressure. The nurse should place the zero of the manometer at the:
Correct Answer: A
Rationale: The phlebostatic axis (4th intercostal space, mid-axillary line) is the standard reference point for accurate central venous pressure measurement.
Question 4 of 5
A 2-month-old boy with a temperature of 102°F (39°C) is brought to the emergency department by his mother. The mother tells the nurse that her son had a DPT injection one week ago, and asks if this fever is related to the immunization. The nurse’s response should be based on the knowledge that
Correct Answer: C
Rationale: low-grade fever and irritability frequent response to immunization
Question 5 of 5
A 15-year-old client is rushed to the ER after taking an entire bottle of acetaminophen (Tylenol) in a suicide attempt. The nurse's priority is obtaining which lab results?
Correct Answer: A
Rationale: Acetaminophen overdose causes hepatotoxicity. AST and ALT levels assess liver damage, which is the priority.