NCLEX-RN
Free NCLEX RN Practice Test Questions
Extract:
Question 1 of 5
A client has increasing pain in both hands. On examination, the nurse notes that the metacarpophalangeal and proximal interphalangeal joints are enlarged and swollen, swanneck deformity is evident, and the fingers on both hands show ulnar deviation. These findings are consistent with which of the following disorders?
Correct Answer: B
Rationale: Swanneck deformity, ulnar deviation, and swollen MCP/PIP joints are classic for rheumatoid arthritis (
B). Osteoarthritis (
A) affects distal joints, gout (
C) causes tophi, and psoriatic arthritis (
D) involves skin lesions.
Question 2 of 5
A client on the psychiatric unit is in an uncontrolled rage and is threatening other clients and staff. What is the most appropriate action for the nurse to take?
Correct Answer: A
Rationale: Calling security and preparing for sedation ensures the safety of the client, other patients, and staff during an uncontrolled rage.
Question 3 of 5
The infant is admitted to the unit with Tetralogy of Fallot. The nurse would anticipate an order for which medication?
Correct Answer: A
Rationale: Digoxin is commonly used in Tetralogy of Fallot to improve cardiac function and manage heart failure symptoms.
Question 4 of 5
A client with acute leukemia develops a low white blood cell count. In addition to the institution of isolation, the nurse should:
Correct Answer: D
Rationale: Sealed, single-serving foods reduce infection risk in neutropenic patients.
Question 5 of 5
A new graduate nurse has an argument with a coworker regarding how the medication cart should be organized. The nurse asks his coworker to step into the break room to discuss their disagreement. This is an example of what type of conflict management?
Correct Answer: B
Rationale: Confronting involves directly addressing conflict through discussion, as the nurse does by initiating a private conversation.