NCLEX-RN
NCLEX RN Practice Questions PDF Questions
Extract:
Question 1 of 5
A client is admitted to the emergency room with a gunshot wound to the right arm. After dressing the wound and administering the prescribed antibiotic, the nurse should:
Correct Answer: C
Rationale: Immobilizing the arm with a splint prevents further tissue damage and promotes healing, which is a priority after initial wound care and antibiotic administration. Checking for allergies should have been done prior to administering antibiotics, and pain management, while important, is secondary to stabilization.
Question 2 of 5
The nurse is assisting a client who is to undergo a thoracentesis. Which of the following is the optimal position for the procedure?
Correct Answer: D
Rationale: The upright position leaning forward (
D) maximizes lung expansion and access to pleural fluid during thoracentesis.
Question 3 of 5
Which assignment should not be performed by the nursing assistant?
Correct Answer: D
Rationale: Administering an enema is an invasive procedure requiring clinical judgment, which is beyond the scope of a nursing assistant's responsibilities.
Question 4 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 5 of 5
A client with rheumatoid arthritis is beginning to develop flexion contractures of the knees. The nurse should tell the client to:
Correct Answer: A
Rationale: Lying prone with feet hanging over the mattress edge promotes knee extension, helping to prevent or reduce flexion contractures in rheumatoid arthritis.