NCLEX-RN
NCLEX RN Practice Test Questions
Extract:
Question 1 of 5
A client in Dunlop traction experiences numbness of the thumb and index finger and cannot move the thumb to touch the tips of the other fingers. The capillary refill time is four seconds. Which of the following actions is indicated?
Correct Answer: A
Rationale: Numbness, impaired thumb movement, and delayed capillary refill suggest compression from a tight elastic bandage. Removing and reapplying it loosely (
A) addresses this. Adjusting weights (B,
D) or countertraction (
C) does not address the symptoms.
Question 2 of 5
An 8-year-old boy is diagnosed with a Wilm's tumor. The nurse would expect what finding on assessment?
Correct Answer: D
Rationale: Wilm’s tumor (nephroblastoma) often presents with an enlarged abdomen due to a palpable renal mass.
Question 3 of 5
The nurse is caring for a client with suspected meningitis who will be having a lumbar puncture. Which statement regarding aftercare is correct?
Correct Answer: D
Rationale: Post-lumbar puncture care includes assessing for neurological changes, pain, drainage, and voiding to detect complications like nerve injury or CSF leak.
Question 4 of 5
The nurse is teaching the client regarding use of sodium warfarin. Which statement made by the client would require further teaching?
Correct Answer: C
Rationale: Aspirin increases bleeding risk when taken with warfarin, indicating a need for further teaching to avoid this combination.
Question 5 of 5
A 2-year-old is admitted for repair of a fractured femur and is placed in Bryant's traction. Which finding by the nurse indicates that the traction is working properly?
Correct Answer: B
Rationale: In Bryant's traction, the buttocks should be slightly elevated (15° off the bed) to ensure proper alignment.