NCLEX-RN
NCLEX RN Practice Questions Questions
Extract:
Question 1 of 5
A client is brought to the emergency room by the police. He is combative and yells, 'I have to get out of here. They are trying to kill me.' Which assessment is most likely correct in relation to this statement?
Correct Answer: C
Rationale: The client's statement reflects paranoid delusions, a belief that others intend harm, common in psychotic disorders.
Question 2 of 5
Which nurse should not be assigned to care for the client with a radium implant for vaginal cancer?
Correct Answer: B
Rationale: Pregnant nurses should avoid caring for clients with radium implants due to the risk of radiation exposure to the fetus.
Question 3 of 5
The nurse is caring for a client scheduled for a surgical repair of a sacular abdominal aortic aneurysm. Which assessment is most crucial during the preoperative period?
Correct Answer: C
Rationale: Identifying peripheral pulses is critical to assess baseline circulation, as an abdominal aortic aneurysm can affect distal blood flow.
Question 4 of 5
The nurse is assessing a client who had a colon resection 2 days ago. The client states, 'I feel like my stitches have burst loose.' Upon further assessment, dehiscence of the wound is noted. The nurse should:
Correct Answer: B
Rationale: Dehiscence requires covering the wound with a sterile, saline-moistened dressing to prevent infection and protect exposed tissues. The other actions are inappropriate or harmful.
Question 5 of 5
The nurse is teaching a pregnant client about nutritional needs during pregnancy. Which menu selection will best meet the nutritional needs of the pregnant client?
Correct Answer: C
Rationale: This menu provides balanced nutrients, including protein, vitamins, and calcium, essential for pregnancy.