NCLEX-RN
NCLEX RN Practice Test Questions
Extract:
Question 1 of 5
A client is admitted to the unit 2 hours after an explosion causes burns to the face. The nurse would be most concerned with the client developing which of the following?
Correct Answer: B
Rationale: Facial burns increase the risk of laryngeal edema due to inhalation injury, which can compromise the airway and is the most immediate concern.
Question 2 of 5
The nurse is observing a graduate nurse as she assesses the central venous pressure. Which observation would indicate that the graduate needs further teaching?
Correct Answer: C
Rationale: The Valsalva maneuver falsely elevates CVP; normal breathing is required.
Question 3 of 5
Which of the following are important factors in facilitating attachment between a newborn and mother?
Correct Answer: A,B,D
Rationale: Rooming in (
A), swaddling/holding (
B), and early breastfeeding (
D) promote bonding. Childcare knowledge (
C) is less directly related to attachment.
Question 4 of 5
What airborne precautions should the nurse anticipate when a client with measles is admitted to the hospital? Select all that apply.
Correct Answer: C,D
Rationale: Measles requires airborne precautions, including a negative pressure room (
C) and an N-95 respirator (
D). Surgical masks (
A) are insufficient, and dedicated entrances (E) are not standard. Client masking during transport (
B) is recommended but not always mandatory.
Question 5 of 5
The nurse recognizes all of the following as common physical characteristics of a child with Down syndrome EXCEPT
Correct Answer: D
Rationale: Down syndrome features include small, low-set ears, downward slanting eyes, and hyperflexibility. An enlarged tongue (macroglossia) is less common or not a hallmark feature.