NCLEX-RN
NCLEX RN Practice Questions Questions
Extract:
Question 1 of 5
A child with scoliosis has a spica cast applied. Which action specific to the spica cast should be taken?
Correct Answer: D
Rationale: Checking for swelling is critical to detect complications like compartment syndrome in a spica cast.
Question 2 of 5
A nurse is working with an immobile client and doing passive range-of-motion (ROM) exercises on his legs. The client states the exercise is too painful and does not want to continue. The nurse should
Correct Answer: D
Rationale: Pain during ROM exercises may indicate injury. Stopping the exercise prevents harm, with further assessment or pain management to follow.
Question 3 of 5
One of the most important criteria for the diagnosis of physical abuse is inconsistency between the appearance of the injury and the history of how the injury occurred. Which one of the following situations should alert the nurse to the possibility of abuse?
Correct Answer: A
Rationale: Sock and mitten burns (circumferential burns on hands and feet) are inconsistent with a fall into a bathtub and suggest immersion, raising suspicion of abuse.
Question 4 of 5
An elderly client with glaucoma is scheduled for a cholecystectomy. Which medication order should the nurse question?
Correct Answer: C
Rationale: Atropine is contraindicated in glaucoma as it can increase intraocular pressure, worsening the condition.
Question 5 of 5
The client is admitted to the unit. A vaginal exam reveals that she is 3cm dilated. Which of the following statements would the nurse expect her to make?
Correct Answer: D
Rationale: At 3 cm dilation (early labor), clients often inquire about pain relief options like an epidural.