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
A client is upset that the physician has refused to order a stronger pain medication for the client and berates the nurse, calling the nurse 'worthless and stupid' when the nurse brings the prescribed medication. Which of the following ego defense mechanisms is the client exhibiting?
Correct Answer: C
Rationale: Displacement (
C) involves redirecting anger from the physician to the nurse. Compensation (
A), reaction formationCDATA(
B), and regression (
D) do not fit this behavior.
Question 3 of 5
A client with a C4 spinal cord injury has been placed in traction with cervical tongs. Nursing care should include:
Correct Answer: D
Rationale: Sterile pin care is essential to prevent infection at the site of cervical tongs, while altering traction or bed position could compromise spinal alignment.
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 understands that the diagnosis of oral cancer is confirmed with:
Correct Answer: A
Rationale: A biopsy provides definitive histological evidence of oral cancer, confirming the diagnosis.