NCLEX-RN
NCLEX RN Practice Questions
Extract:
Question 1 of 5
A home health nurse has several elderly clients in her case load. Which of the following clients is most likely to be a victim of elder abuse?
Correct Answer: A
Rationale: Clients with Alzheimer's disease are at higher risk for elder abuse due to cognitive impairment, dependency, and potential behavioral challenges, which can strain caregivers.
Question 2 of 5
A 15-year-old client took a full bottle of extra-strength acetaminophen in a suicide attempt 5 hours prior to admission to the emergency department for treatment, and the serum level of the drug is 180 mcg/mL. Which of the following interventions does the nurse anticipate? Select all that apply.
Correct Answer: A,B,C,D,E
Rationale: Acetaminophen overdose requires NAC (
A), supportive care (
B), charcoal if within 4-8 hours (
C), hepatic monitoring (
D), and psychiatric consultation (E) for suicide attempt.
Question 3 of 5
Place the steps for an abdominal assessment in the correct order.
Order the Items
Source Container
Correct Answer: C,A,D,B
Rationale: Abdominal assessment order: inspection (visual assessment), auscultation (bowel sounds before manipulation), percussion (assess density), palpation (last to avoid altering bowel sounds).
Question 4 of 5
A primigravida, age 42, is 6 weeks pregnant. Based on the client's age, her infant is at risk for:
Correct Answer: A
Rationale: Advanced maternal age (over 35) increases the risk of Down syndrome in the fetus.
Question 5 of 5
The nurse is performing a history on a client admitted for surgery in the morning. Which long-term medication in the client's history would be most important to report to the physician?
Correct Answer: A
Rationale: Prednisone, a corticosteroid, can affect wound healing, immune response, and adrenal function, requiring perioperative adjustments. The other medications are less critical.