NCLEX-RN
NCLEX RN Question Bank Free Questions
Extract:
Question 1 of 5
A client with a moderate level of anxiety is pacing quickly in the hall. As the nurse approaches, he states, 'Help me. I can't take it anymore.' Which of the following would be the best response initially?
Correct Answer: B
Rationale: Offering to talk in a quieter area de-escalates anxiety and provides a supportive environment.
Question 2 of 5
A client with a moderate level of anxiety is pacing quickly in the hall. As the nurse approaches, he states, 'Help me. I can't take it anymore.' Which of the following would be the best response initially?
Correct Answer: B
Rationale: Offering to talk in a quieter area de-escalates anxiety and provides a supportive environment.
Question 3 of 5
The nurse is assessing a client with a suspected tension pneumothorax. Which of the following interventions is the highest priority?
Correct Answer: B
Rationale: Preparing for needle decompression is the highest priority in tension pneumothorax to relieve pressure and restore lung function.
Question 4 of 5
Which clinical manifestations are consistently observed in infants who have been diagnosed with congenital hypothyroidism? Select all that apply.
Correct Answer: B,C,D,F
Rationale: The infant with congenital hypothyroidism may display the following signs: skin mottling, a large fontanel, a large tongue, hypotonia, slow reflexes, bradycardia, and a distended abdomen. Other signs and symptoms include prolonged jaundice, lethargy, constipation, feeding problems, coldness to touch, umbilical hernia, hoarse cry, and excessive sleeping.
Question 5 of 5
Which of the following nursing interventions would best accomplish the goal of preventing atelectasis and pneumonia in a postoperative client?
Correct Answer: B
Rationale: Pain control is essential to enable effective deep breathing and incentive spirometry, which prevent atelectasis and pneumonia by promoting lung expansion. Oxygen and fluid intake are supportive but secondary.