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
The nurse is caring for a client with staphylococcus epidermidis. The client is on a vancomycin IV. What nursing consideration should the nurse be aware of regarding this medication?
Correct Answer: C
Rationale: Vancomycin requires monitoring trough levels (drawn before a dose) to ensure therapeutic efficacy and prevent toxicity.
Question 3 of 5
The nurse is caring for a client in the intensive care unit. The nurse recognizes that to prevent sensory alteration in a client, the nurse needs to do which of the following interventions? Select all that apply.
Correct Answer: A, C
Rationale: Orienting the client and explaining care reduce sensory deprivation and confusion, while limiting visitors or consistent lighting may not be beneficial.
Question 4 of 5
The nurse is discharging a client with a prescription of eyedrops. Which observation by the nurse would indicate a need for further client teaching?
Correct Answer: B
Rationale: Administering a second eyedrop immediately washes out the first. A 5-minute wait is needed, indicating a need for further teaching.
Question 5 of 5
A nurse is preparing to administer a MMR vaccine to a 35-year-old male. The nurse should
Correct Answer: D
Rationale: MMR is an intramuscular vaccine, requiring a 90-degree angle injection (typically deltoid). Dorsogluteal is not preferred, and pinching is for subcutaneous injections.