NCLEX-RN
NCLEX RN Practice Test Questions
Extract:
Question 1 of 5
A client with multiple sclerosis tires easily, so the nurse is instructing the client in energy-conservation techniques. Which of the following techniques may help the client conserve energy? Select all that apply.
Correct Answer: A,C,D,E
Rationale: Energy conservation for multiple sclerosis includes sitting for tasks (
A), resting regularly (
C), planning movements (
D), and monitoring fatigue (E). Items on the floor or high shelves (
B) increase effort, and pulling vs. pushing (F) is not standard.
Question 2 of 5
When providing care for a client with pancreatitis, the nurse would anticipate which of the following orders?
Correct Answer: B
Rationale: Pancreatitis often requires an NG tube with suction to reduce gastric secretions and pancreatic stimulation, aiding in symptom management.
Question 3 of 5
The nurse is observing a graduate nurse as she assesses the central venous pressure. Which observation would indicate that the graduate needs further teaching?
Correct Answer: C
Rationale: The Valsalva maneuver falsely elevates CVP; normal breathing is required.
Question 4 of 5
A nurse from the dialysis unit floats to the med-surg floor. He is doing afternoon rounds and medication administration. He brings a client her oral medications, but the client states, 'What is this? Where is my yellow pill? This big white one is not mine.' The best action from the nurse is to
Correct Answer: A
Rationale: Verifying with the MAR and pharmacy ensures medication safety when a client questions a pill’s appearance, preventing potential errors.
Question 5 of 5
The 6-month-old client with a ventral septal defect is receiving Digitalis for regulation of his heart rate. Which finding should be reported to the doctor?
Correct Answer: C
Rationale: A heart rate of 60 bpm in a 6-month-old is too low (normal is 80-160 bpm), indicating possible digitalis toxicity, which should be reported.