NCLEX-RN
NCLEX RN Practice Questions Questions
Extract:
Question 1 of 5
A client with a T6 injury 6 months ago develops facial flushing and a BP of 210/106. After elevating the head of the bed, which is the most appropriate nursing action?
Correct Answer: B
Rationale: The symptoms suggest autonomic dysreflexia, often triggered by a distended bladder in spinal cord injury patients. Assessing and relieving the bladder is the priority after elevating the bed.
Question 2 of 5
The nurse is caring for a client with a retained placenta following a noneventful vaginal birth of a full-term infant. The nurse understands which of the following is true regarding a retained placenta?
Correct Answer: C
Rationale: Removing retained placental fragments reduces infection and hemorrhage risks. Imaging is not typically used, nitroglycerin is rare, and the uterus may feel boggy, not firm.
Question 3 of 5
One of the most important criteria for the diagnosis of physical abuse is inconsistency between the appearance of the injury and the history of how the injury occurred. Which one of the following situations should alert the nurse to the possibility of abuse?
Correct Answer: A
Rationale: Sock and mitten burns (circumferential burns on hands and feet) are inconsistent with a fall into a bathtub and suggest immersion, raising suspicion of abuse.
Question 4 of 5
The nurse is caring for a client with a history of bipolar disorder who is admitted during a manic episode. Which of the following interventions should the nurse implement?
Correct Answer: B
Rationale: a quiet, low-stimulation environment helps reduce agitation and promote safety during a manic episode
Question 5 of 5
A community health nurse is teaching healthful lifestyles to a group of senior citizens. The nurse knows that the leading cause of death in persons 65 and older is:
Correct Answer: D
Rationale: Heart disease is the leading cause of death in adults over 65, driven by coronary artery disease and heart failure.