NCLEX-RN
NCLEX RN Practice Test Questions
Extract:
Question 1 of 5
A client with pelvic skin traction for low back pain is at risk of which of the following problems associated with decreased mobility? Select all that apply.
Correct Answer: A,B,C
Rationale: Decreased mobility from traction increases risks of orthostatic hypotension (
A), muscle weakness (
B), and venous stasis (
C). Dysuria (
D) and confusion (E) are less directly related.
Question 2 of 5
The nurse is assessing the heart sounds of a client with mitral stenosis following a history of rheumatic fever. To hear a mitral murmur, the nurse should place the stethoscope at:
Correct Answer: D
Rationale: Mitral stenosis murmurs are best heard at the fourth intercostal space midclavicular line, the mitral valve area.
Question 3 of 5
Which of the following are important factors in facilitating attachment between a newborn and mother?
Correct Answer: A,B,D
Rationale: Rooming in (
A), swaddling/holding (
B), and early breastfeeding (
D) promote bonding. Childcare knowledge (
C) is less directly related to attachment.
Question 4 of 5
A client with tuberculosis who has been on combined therapy with rifampin and isoniazid asks the nurse how long he will have to take medication. The nurse should tell the client that:
Correct Answer: C
Rationale: Standard treatment for active tuberculosis involves 6 months of combined therapy with rifampin and isoniazid to ensure complete eradication.
Question 5 of 5
The home health nurse is planning for the day's visits. Which client should be seen first?
Correct Answer: C
Rationale: The client with a decubitus ulcer is at risk for infection and complications, making them the priority for assessment.