NCLEX-RN
NCLEX RN Practice Test Questions
Extract:
Question 1 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 2 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 3 of 5
The nurse is teaching safe client handling techniques to a group of student nurses. Which action by a student nurse would require intervention?
Correct Answer: C
Rationale: Placing the bed supine is unsafe for moving a client up, as slight elevation (e.g., Trendelenburg) aids safety. Other actions are correct.
Question 4 of 5
A client is receiving gentamicin sulfate (Gentamicin) injections as part of her treatment regimen for a pseudomonas infection. The nurse knows to assess for what potential adverse reaction to this medication?
Correct Answer: D
Rationale: Gentamicin, an aminoglycoside, is associated with ototoxicity (hearing loss or balance issues) as a major adverse effect, requiring close monitoring.
Question 5 of 5
The nurse is teaching a client with chronic obstructive pulmonary disease (COPD) about energy conservation techniques. Which of the following statements by the client indicates understanding?
Correct Answer: B
Rationale: pacing activities and resting as needed conserves energy and reduces fatigue in COPD