NCLEX-RN
Free NCLEX RN Practice Questions Questions
Extract:
Question 1 of 5
A client is to be discharged on warfarin (Coumadin®) therapy, and the nurse is teaching the client about the medication. Which of the following statements by the client indicates that the client's education has been effective? Select all that apply.
Correct Answer: A,C,D
Rationale: Soft toothbrush (
A), swimming (
C), and Medical Alert bracelet (
D) reduce bleeding risk and ensure safety. Black stools (
B) indicate bleeding, and avoiding all leafy greens (E) is excessive.
Question 2 of 5
Which of the following actions does NOT require the use of standard precautions?
Correct Answer: C
Rationale: Standard precautions are required for contact with blood, urine, and vomit due to potential infectious agents. Sweat is not considered a significant risk for transmission.
Question 3 of 5
A 5-year-old client with hyperthyroidism is admitted to the pediatric unit. What would the nurse expect the admitting assessment to reveal?
Correct Answer: C
Rationale: Exophthalmos (bulging eyes) is a common sign of hyperthyroidism due to thyroid hormone effects on orbital tissues.
Question 4 of 5
Which one of the following infants needs a further assessment of growth?
Correct Answer: B
Rationale: The 2-week-old has only gained 2 oz since birth, which is inadequate (normal is 0.5-1 oz/day), indicating a need for growth assessment.
Question 5 of 5
The nurse is preparing to pull a thin, frail client up in the bed. No one responds to the nurse's call for lifting assistance. Which is the best action by the nurse?
Correct Answer: C
Rationale: Using the draw sheet to pull the client up is the safest option to prevent injury to both the client and nurse when assistance is unavailable.