NCLEX-RN
NCLEX RN Practice Test Questions
Extract:
Question 1 of 5
A 2-year-old is admitted for repair of a fractured femur and is placed in Bryant's traction. Which finding by the nurse indicates that the traction is working properly?
Correct Answer: B
Rationale: In Bryant's traction, the buttocks should be slightly elevated (15° off the bed) to ensure proper alignment.
Question 2 of 5
A client with pancreatic cancer has an infusion of TPN (Total Parenteral Nutrition). The doctor has ordered for sliding-scale insulin. The most likely explanation for this order is:
Correct Answer: C
Rationale: TPN is a high-glucose solution, often causing hyperglycemia, necessitating sliding-scale insulin to manage blood glucose levels.
Question 3 of 5
The obstetric client's fetal heart rate is 80-90 during the contractions. The first action the nurse should take is:
Correct Answer: B
Rationale: A fetal heart rate of 80-90 suggests distress; turning the client to her left side improves uteroplacental perfusion.
Question 4 of 5
An 8-year-old boy is diagnosed with a Wilm's tumor. The nurse would expect what finding on assessment?
Correct Answer: D
Rationale: Wilm’s tumor (nephroblastoma) often presents with an enlarged abdomen due to a palpable renal mass.
Question 5 of 5
A 24-year-old female client is scheduled for surgery in the morning. Which of the following is the primary responsibility of the nurse?
Correct Answer: B
Rationale: Obtaining the signed consent form is the nurse's primary responsibility to ensure informed consent before surgery.