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NCLEX RN Practice Exam Questions

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Question 1 of 5

A homeless client has been admitted to the hospital for observation, and he does not speak any English. The nurse does not know any of the client's medical history, but he is grimacing and looks to be in pain. The nurse should

Correct Answer: B

Rationale: An interpreter ensures accurate communication for assessing pain and history, respecting patient needs and safety.

Question 2 of 5

A toddler with otitis media has just completed antibiotic therapy. A recheck appointment should be made to:

Correct Answer: C

Rationale: A recheck appointment confirms that the otitis media has resolved, ensuring no residual infection or complications.

Question 3 of 5

The nurse is assessing a client following a coronary artery bypass graft (CABG). The nurse should give priority to reporting:

Correct Answer: B

Rationale: Confusion and restlessness may indicate cerebral hypoxia or other serious complications post-CABG, requiring immediate reporting.

Question 4 of 5

The nursing assistant is taking vitals for a client on mechanical ventilation. Which of the following findings should the nursing assistant report to the nurse immediately?

Correct Answer: D

Rationale: Fever (102.1°F) in a ventilated client suggests infection (e.g., ventilator-associated pneumonia), requiring immediate reporting.

Question 5 of 5

The nurse is preparing a client for cervical uterine radiation implant insertion. Which will be included in the teaching plan?

Correct Answer: B

Rationale: A Foley catheter is inserted during cervical radiation implants to keep the bladder empty, reducing radiation exposure to nearby organs. The other options are incorrect or irrelevant.

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The nurse is working on a discharge teaching plan for a client prescribed phenelzine (Nardil), a monoamine oxidase inhibitor (MAOI drug). The nurse knows teaching was successful if the client states,
The nurse is responsible for performing a neonatal assessment on a fullterm infant. At 1 minute, the nurse could expect to find:

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