NCLEX-RN
NCLEX RN Practice Questions PDF Questions
Extract:
Question 1 of 5
A client has had a recent below-knee (BK) amputation of the right leg because of a traumatic injury. After removing the elastic wrap, which the client had applied, the nurse notes an unusual pattern of swelling. Which of the following is the most likely reason for this observation?
Correct Answer: C
Rationale: An unusual swelling pattern after removing an elastic wrap suggests incorrect wrap technique (
C), which can cause uneven pressure. Infection (
A), impaired circulation (
B), or bleeding (
D) would present differently.
Question 2 of 5
The nurse is developing a plan of care for a client with an ileostomy. The priority nursing diagnosis is:
Correct Answer: A
Rationale: Fluid volume deficit is the priority due to the risk of dehydration from high ileostomy output, which can lead to electrolyte imbalances and other complications.
Question 3 of 5
The nurse is on a memory care unit. A client insists on leaving to go home. Which of the following should the nurse do?
Correct Answer: B
Rationale: Redirecting the client to a social activity can help distract from the desire to leave and promote engagement, which is appropriate for a client with memory issues.
Question 4 of 5
Which of the following signs and symptoms would a nurse expect when examining a 22-year-old female with secondary syphilis?
Correct Answer: C
Rationale: Secondary syphilis presents with a non-itchy rash, often on the palms and soles. Chancres are primary syphilis, and skin tumors are tertiary syphilis.
Question 5 of 5
A client has had a recent below-knee (BK) amputation of the right leg because of a traumatic injury. After removing the elastic wrap, which the client had applied, the nurse notes an unusual pattern of swelling. Which of the following is the most likely reason for this observation?
Correct Answer: C
Rationale: An unusual swelling pattern after removing an elastic wrap suggests incorrect wrap technique (
C), which can cause uneven pressure. Infection (
A), impaired circulation (
B), or bleeding (
D) would present differently.