NCLEX-RN
RN NCLEX Practice Questions Questions
Extract:
Question 1 of 5
A client is 4 hours post-op left carotid endarterectomy. Which assessment finding would cause the nurse the most concern?
Correct Answer: C
Rationale: Right-sided weakness post-left carotid endarterectomy suggests a neurological deficit, possibly from stroke or hematoma, requiring immediate intervention.
Question 2 of 5
Four 6-month-old children arrive at the clinic for diphtheria-pertussis-tetanus immunization. Which child can safely receive the immunization at this time?
Correct Answer: A
Rationale: A mild runny nose is not a contraindication for the DTaP vaccine, whereas seizures, severe allergic reactions, or fever indicate a need to delay immunization.
Question 3 of 5
The nurse is caring for a client on the oncology unit. Which nursing activity is appropriate to delegate to the unit LPN?
Correct Answer: A
Rationale: Obtaining vital signs is within the LPN’s scope. Administering blood, IV pain medication, or chemotherapy typically requires RN expertise.
Question 4 of 5
Four clients are to receive medication. Which client should receive medication first?
Correct Answer: C
Rationale: A stat dose of Lasix for labored respirations indicates an urgent need to address potential pulmonary edema, prioritizing this client.
Question 5 of 5
The nurse is caring for a client who has just returned from surgery for an ascending colostomy. The nurse plans to include reinforcement teaching for the client and spouse. Which statements should the nurse include in the teaching? Select all that apply.
Correct Answer: C,D
Rationale: A healthy stoma is reddish-pink, moist, and protrudes slightly (
D). Initial stools are liquid, becoming formed over time (
C). Function typically starts in 2-5 days, not 24 hours (
A), and significant bleeding (
B) is abnormal.