NCLEX-RN
NCLEX Practice Test RN Questions
Extract:
Question 1 of 5
A client with cervical cancer has a radioactive implant. Which statement indicates that the client understands the nurse's teaching regarding radioactive implants?
Correct Answer: C
Rationale: Clients with radioactive implants can use the bedside commode if permitted, indicating understanding of mobility restrictions. Visitor limitations, catheters, and side effects depend on the specific protocol.
Question 2 of 5
The nurse is teaching a client with a history of osteoporosis about fall prevention. The nurse should tell the client to:
Correct Answer: A
Rationale: Removing clutter prevents falls in osteoporosis, reducing fracture risk.
Question 3 of 5
A client is receiving peritoneal dialysis. He has been taught to warm the dialyzing fluid prior to instilling it because:
Correct Answer: B
Rationale: Instilling a cool solution does not significantly lower the body temperature during peritoneal dialysis. Warmed solution does help dilate the peritoneal blood vessels, facilitating the exchange of fluids. Warming the dialysate does not decrease the risk of peritoneal infection. Sterile technique decreases this risk. Relaxing the abdominal muscles does not facilitate peritoneal dialysis.
Question 4 of 5
The client is admitted at 32 weeks gestation with a diagnosis of gestational hypertension. Which assessment finding is most significant?
Correct Answer: A
Rationale: Proteinuria of 2+ is a significant finding in gestational hypertension as it suggests progression to preeclampsia which can lead to severe complications. BP of 140/90 edema and weight gain are concerning but less specific without proteinuria.
Question 5 of 5
An appropriate nursing intervention for the client with borderline personality disorder is:
Correct Answer: A
Rationale: Clients with borderline personality disorder often experience mood instability and are at risk for self-harm or suicide. Observing for signs of depression or suicidal thinking is a priority nursing intervention to ensure safety. Allowing the client to lead group sessions or select a caregiver may reinforce manipulative behaviors, and restricting activity to the unit is not typically therapeutic unless specified for safety.