NCLEX-RN
NCLEX RN Practice Test Free Questions
Extract:
Question 1 of 5
A home health nurse finds the client lying unconscious in the doorway of her bathroom. The nurse checks for responsiveness by gently shaking the client and calling her name. When it is determined that the client is nonresponsive, the nurse should:
Correct Answer: C
Rationale: Opening the airway is the first step in managing an unresponsive client to ensure adequate ventilation.
Question 2 of 5
The nurse in an ambulatory care clinic is admitting a 27-year-old client with severe systemic lupus erythematosus (SLE). In assessing the client's health history, the nurse knows to question which of the following statements?
Correct Answer: D
Rationale: Annual eye exams may not be sufficient for SLE, as the condition and its treatments can cause frequent eye complications, requiring more regular monitoring.
Question 3 of 5
A client with a head injury has an intracranial pressure (ICP) monitor in place. Cerebral perfusion pressure calculations are ordered. If the client's ICP is 22 and the mean pressure reading is 70, what is the client's cerebral perfusion pressure?
Correct Answer: D
Rationale: Cerebral perfusion pressure (CPP) = Mean Arterial Pressure (MAP) - ICP. Given MAP = 70 and ICP = 22, CPP = 70 - 22 = 48. Thus, the answer is 48.
Question 4 of 5
A client is being treated with internal radiation (brachytherapy). The nurse explains to the client that
Correct Answer: C
Rationale: Brachytherapy requires distance precautions; visitors must stay 6 feet away to minimize radiation exposure. Gowns/masks are not needed, visitors are allowed, and gifts do not become radioactive.
Question 5 of 5
A client develops mastitis in the postpartum period. Which of the following instructions does the nurse anticipate when notifying the physician? Select all that apply.
Correct Answer: A,C,E
Rationale: Mastitis is typically treated with antibiotics (
A) for 7-10 days to address the infection. Alternating hot and cold compresses (
C) can help relieve pain and reduce inflammation. Continuation of breastfeeding (E) is encouraged to promote milk flow and prevent further complications, unless contraindicated. Opioid analgesia (
B) is not typically required, and discontinuation of breastfeeding (
D) is not recommended as it may worsen the condition.