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
Following application of a right BK prosthesis for an amputated limb, the client returns for evaluation, and the nurse notes that the client has an unstable gait and the right hip and knee are showing signs of slight flexion contractures. The client admits to infrequent use of the prosthesis. Which of the following interventions are most indicated? Select all that apply.
Correct Answer: A,B,D
Rationale: Sympathetic encouragement (
A), retraining (
B), and counseling (
D) address infrequent use and contractures constructively. Chastising (
C) is non-therapeutic and demotivating.
Question 3 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.
Question 4 of 5
The RN is making assignments for the morning staff. Which client should be cared for by the RN?
Correct Answer: D
Rationale: Hemoptysis indicates potential severe bleeding, requiring the RN's advanced assessment and intervention skills.
Question 5 of 5
The nurse is assigning staff to care for a number of clients with emotional disorders. Which facet of care is suitable to the skills of the nursing assistant?
Correct Answer: B
Rationale: Assisting with bathing and grooming is within the nursing assistant's scope, supporting a client with depression in maintaining personal hygiene.