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
The client who is 2 weeks post-burn with a 40% deep partial-thickness injury still has open wounds. The nurse's assessment reveals the following findings: temperature 96.5°F, BP 87/40, and severe diarrhea stools. What problem does the nurse most likely suspect?
Correct Answer: C
Rationale: Hypothermia, hypotension, and diarrhea suggest systemic gram-negative infection, likely sepsis, due to bacterial translocation from open wounds or the gut in a burn patient.
Question 3 of 5
The nurse is caring for clients on a medical/surgical unit and determines that several situations need to be addressed. Which of the following situations should the nurse attend to FIRST?
Correct Answer: D
Rationale: should assess client to determine amount and cause of bleeding
Question 4 of 5
The nurse is working on a postsurgical floor with an LPN. A new client has just arrived. Which task is appropriate for the nurse to delegate to the LPN?
Correct Answer: A
Rationale: Taking vital signs is within an LPN’s scope. PICC line flushing, IV morphine, and TPN initiation require RN-level judgment.
Question 5 of 5
A 20-year-old female has a prescription for tetracycline. While teaching the client how to take her medicine, the nurse learns that the client is also taking Ortho-Novum oral contraceptive pills. Which instructions should be included in the teaching plan?
Correct Answer: D
Rationale: Tetracycline can reduce the efficacy of oral contraceptives, necessitating backup contraception.