NCLEX-RN
NCLEX RN Exam Questions Questions
Extract:
Question 1 of 5
A client with a history of a burn injury is being taught about wound care. The nurse should teach the client to:
Correct Answer: C
Rationale: Keeping a burn wound covered and moist promotes healing and prevents infection. Harsh soaps, ice, and air exposure can damage tissue or delay healing.
Question 2 of 5
The nurse is ready to begin an exam on a nine-month-old infant who is sitting quietly on his mother's lap. Which should the nurse do first?
Correct Answer: B
Rationale: When examining an infant, the nurse should start with the least invasive procedures to maintain the infant’s calm state. Listening to heart and lung sounds is non-invasive and can be done while the infant is quiet. Checking the Babinski reflex, palpating the abdomen, or checking tympanic membranes may cause discomfort and disrupt the exam.
Question 3 of 5
In client teaching, the nurse should emphasize that fetal damage occurs more frequently with ingestion of drugs during:
Correct Answer: A
Rationale: The first trimester is the period of organogenesis, when the fetus is most susceptible to teratogenic effects of drugs.
Question 4 of 5
The nurse is conducting a physical assessment on a client with mild anemia. Which of the following would the nurse expect to observe?
Correct Answer: C
Rationale: Mild anemia reduces oxygen-carrying capacity leading to fatigue and activity intolerance. Heart murmurs increased respiratory rate or frequent infections are not typical findings in mild anemia unless complications arise.
Question 5 of 5
Parents of a child with rheumatic fever express concern that she will always be arthritic. The nurse discusses their concerns and tells them the joint pain usually:
Correct Answer: A
Rationale: Joints usually remain inflamed and tender until the disease runs its course in <3 weeks. This response does not answer the question of whether she will always be arthritic. This response does not answer the question asked. The disease takes <3 weeks to run its course.