NCLEX-RN
NCLEX RN Practice Questions Questions
Extract:
Question 1 of 5
A client has had a long leg cast removed after eight weeks. Which of the following actions is the correct method of cleansing the skin after cast removal?
Correct Answer: B
Rationale: Soaking in a tub and washing with a washcloth (
B) gently removes dead skin and debris without irritation. A bath brush (
A) or hot water (
D) may be too harsh, and enzyme wash (
C) is unnecessary.
Question 2 of 5
A community health nurse is teaching healthful lifestyles to a group of senior citizens. The nurse knows that the leading cause of death in persons 65 and older is:
Correct Answer: D
Rationale: Heart disease is the leading cause of death in adults over 65, driven by coronary artery disease and heart failure.
Question 3 of 5
A nurse is preparing to lift a client up in bed. Which of the following should the nurse do to help avoid injuring his back?
Correct Answer: C
Rationale: Tightening stomach and leg muscles stabilizes the core, reducing back strain during lifting.
Question 4 of 5
A nulliparous client has been admitted after 12 hours of mild contractions at home. On examination, the client is found to be fully effaced and dilated to 3 cm. Contractions are every 5 minutes and last approximately 60 seconds. The client asks the nurse approximately how long it should take to get to 10 cm dilation. Which of the following is the most appropriate response?
Correct Answer: D
Rationale: Nulliparous women progress at ~1 cm/hour in active labor. From 3 cm to 10 cm is 7 cm, so ~7 hours (
D) is expected.
Question 5 of 5
Two days' postpartum, a nursing mother develops swollen, taut, and very painful breasts. Which of the following is the most likely cause?
Correct Answer: A
Rationale: Swollen, taut, and painful breasts two days postpartum are most likely due to engorgement (
A), a common condition as milk supply increases. Insufficient milk (
B), blocked ducts (
C), and mastitis (
D) present differently or later.