NCLEX-RN
Free NCLEX RN Practice Test Questions
Extract:
Question 1 of 5
A client with AIDS asks the nurse why he cannot have a pitcher of water left at his bedside. The nurse should tell the client that:
Correct Answer: D
Rationale: For clients with AIDS, stagnant water in a pitcher can harbor bacteria, posing an infection risk due to their compromised immune system. Freshly run water minimizes this risk.
Question 2 of 5
The nurse is caring for a client post-myocardial infarction on the cardiac unit. The client is exhibiting symptoms of shock. Which clinical manifestation is the best indicator that the shock is cardiogenic rather than anaphylactic?
Correct Answer: B
Rationale: Chest pain is a hallmark of cardiogenic shock due to myocardial infarction, reflecting cardiac ischemia. Anaphylactic shock typically involves allergic symptoms like urticaria or bronchospasm. Low BP, anxiety, and normal temperature are nonspecific.
Question 3 of 5
The nurse is assessing a client at home who is receiving outpatient hemodialysis 12 hours a week. The nurse knows the client needs further instruction about proper diet when he states which of the following?
Correct Answer: C
Rationale: Milk is high in phosphorus and potassium, which should be limited in hemodialysis patients to prevent electrolyte imbalances.
Question 4 of 5
A client suspected of having Alzheimer's disease is evaluated using the Mini-Mental State Examination. At the beginning of the evaluation, the examiner names three objects. Later in the evaluation, he asks the client to name the same three objects. The examiner is testing the client's:
Correct Answer: C
Rationale: Recalling three objects tests short-term memory (recall), a key component assessed in the Mini-Mental State Examination for Alzheimer's.
Question 5 of 5
A client with liver failure and ascites is having a paracentesis to relieve severe dyspnea resulting from abdominal fluid accumulation. Prior to the procedure, the nurse assists the client to urinate. Which of the following is the most important reason to have the patient urinate?
Correct Answer: C
Rationale: Urinating before paracentesis prevents bladder puncture (
C) by emptying the bladder, reducing risk during needle insertion.