NCLEX-RN
Free NCLEX RN Practice Test Questions
Extract:
Question 1 of 5
A client with an esophageal tamponade develops symptoms of respiratory distress, including inspiratory stridor. The nurse should give priority to:
Correct Answer: B
Rationale: Respiratory distress with stridor suggests airway obstruction from the tamponade, requiring immediate tube removal after deflation to restore airway patency.
Question 2 of 5
A new graduate nurse completes her first full shift with her preceptor. It was a long, overwhelming day and the new nurse takes a deep breath and says to herself, 'You can do this! Nursing will be a challenge but you are up for it and tomorrow is a new day.' This type of communication is
Correct Answer: A
Rationale: Intrapersonal communication is self-talk, as the nurse reflects and motivates herself.
Question 3 of 5
An older adult has become very confused after surgery for repair of a hip fracture. The client has repeatedly tried to climb over the bedrails and the nurse is considering placing the client in a Posey vest that is secured to the bed. Which of the following must the nurse consider when applying restraints to a client? Select all that apply.
Correct Answer: A,C,D
Rationale: Alternatives (
A), reassessment every 2 hours (
C), and a written policy (
D) are required for restraints. Confused clients aren't always safer (
B), most restrictive (E) is incorrect, and an order is needed (F).
Question 4 of 5
A client diagnosed with hepatitis B asks the nurse how the virus is transmitted. Which of the following is the correct response?
Correct Answer: B
Rationale: Hepatitis B is transmitted via blood, sexual contact, needles, and perinatally from mother to newborn.
Question 5 of 5
The nurse is caring for a client with pneumonia who is allergic to penicillin. Which antibiotic is safest to administer to this client?
Correct Answer: C
Rationale: Erythromycin is a macrolide, safe for penicillin-allergic clients, unlike cefazolin, amoxicillin, or ceftriaxone, which are beta-lactams with cross-reactivity risks.