NCLEX-RN
RN NCLEX Practice Questions Questions
Extract:
Question 1 of 5
A client is admitted to the emergency room with multiple injuries. What is the proper sequence for managing the client?
Correct Answer: C
Rationale: The ABCs of trauma care prioritize airway, breathing, and circulation. Establishing an airway comes first, followed by controlling hemorrhage and preventing shock, then assessing for head injuries.
Question 2 of 5
A client is admitted with suspected pernicious anemia. Which findings support the diagnosis of pernicious anemia?
Correct Answer: C
Rationale: Loss of coordination and position sense are neurological symptoms due to vitamin B12 deficiency in pernicious anemia.
Question 3 of 5
A client is hospitalized in a long-term care facility because of Alzheimer disease. The client is incontinent of urine and feces. The nurse has delegated incontinent care to unlicensed assistive personnel (UAP). How frequently should the nurse advise that the UAP check the client for dryness?
Correct Answer: A
Rationale: Checking every 2 hours (
A) ensures timely care to prevent skin breakdown in an incontinent client. Hourly checks (
B) are excessive, and checking only when restless (
C) or before meals (
D) is insufficient.
Question 4 of 5
The nurse is preparing a client for cataract surgery. The nurse is aware that the procedure will use:
Correct Answer: A
Rationale: Mydriatics are used to dilate the pupil, facilitating lens removal during cataract surgery.
Question 5 of 5
The nurse caring for a client with a closed head injury obtains an intracranial pressure (ICP) reading of 17 mmHg. The nurse recognizes that:
Correct Answer: A
Rationale: An ICP of 17 mmHg is elevated (normal is 7-15 mmHg), indicating increased intracranial pressure, which requires immediate notification of the physician.