NCLEX-RN
RN NCLEX Practice Test Questions
Extract:
Question 1 of 5
A 42-year-old client on an inpatient psychiatric unit comments that he was brought to the hospital by his wife because he had taken too many pills and states, 'I just couldn't take it anymore.' The nurse's best response to this disclosure would be:
Correct Answer: B
Rationale: Disapproving gives the impression that the nurse has a right to pass judgment on the client's thoughts, actions, or ideas. Giving a broad opening gives the client encouragement to continue with verbalization. Failing to acknowledge the client's feelings conveys a lack of understanding and empathy. Changing the subject takes the conversation away from the client and is indicative of the nurse's anxiety or insensitivity.
Question 2 of 5
A female client decides on hemodialysis. She has an internal vascular access device placed. To ensure patency of the device, the nurse must:
Correct Answer: B
Rationale: This is an internal device. Assessment of the site should include assessing for swelling, pain, warmth, and discoloration. This measure does not assess patency. The presence of a bruit indicates good blood flow through the device. The nurse should inspect the site for bruising or hematoma; however, this measure does not assure patency of the device. The nurse should inspect the vascular access site frequently for signs of infection. However, this does not assure patency.
Question 3 of 5
Which food selection would provide the most calcium for a client who is four months pregnant?
Correct Answer: C
Rationale: Yogurt is a rich source of calcium essential for fetal bone development during pregnancy. One cup provides approximately 300-400 mg of calcium significantly more than oatmeal bran muffins or oranges.
Question 4 of 5
The nurse is caring for the client who has been in a coma for two months. He has signed a donor card, but the wife is opposed to the idea of organ donation. How should the nurse handle the topic of organ donation with the wife?
Correct Answer: D
Rationale: Discussing organ donation with the wife while the client is still alive may cause distress, especially given her opposition. The nurse should refrain from raising the topic until after the client’s death, respecting her emotional state and hospital policy, which typically involves organ donation teams post-mortem.
Question 5 of 5
The nurse is caring for a client with a history of preterm labor. Which medication is most likely to be ordered to halt preterm contractions?
Correct Answer: B
Rationale: Nifedipine a calcium channel blocker is commonly used as a tocolytic to halt preterm contractions by relaxing uterine smooth muscle. Ritodrine is less used due to side effects magnesium sulfate is more for preeclampsia and indomethacin is used in specific cases.