NCLEX-RN
Best NCLEX RN Question Bank Questions
Extract:
Question 1 of 5
A nurse is assessing a newborn 12 hours after birth. Which of the following findings should be reported to the physician immediately?
Correct Answer: D
Rationale: Jaundice within 24 hours of birth is pathological and requires immediate evaluation. Milia, Mongolian spots, and caput succedaneum are normal findings.
Question 2 of 5
Which of the following should the nurse do first for a toddler just admitted with croup?
Correct Answer: B
Rationale: Assessing respiratory status is the priority for a toddler with croup, as airway obstruction is a primary concern. Vital signs, fluids, and tracheostomy preparation are secondary.
Question 3 of 5
The nurse is assessing a neonate at 5 minutes after birth. The nurse records the Apgar score based on the findings in the chart below. The nurse compares these findings to the Apgar score obtained at birth, as determined by the findings in the chart below. What should the nurse do next?
Correct Answer: B
Rationale: Without specific Apgar score data, the standard action is to continue assessing the neonate, as Apgar scores at 5 minutes guide ongoing monitoring unless critical findings are present.
Question 4 of 5
Select the member of the multidisciplinary team that you would most likely collaborate with when the client is at risk for falls due to an impaired gait.
Correct Answer: A
Rationale: A physical therapist specializes in assessing and improving gait and mobility, making them the most appropriate team member to collaborate with for a client at risk for falls due to impaired gait.
Question 5 of 5
A client with a fracture is placed in skeletal traction. What is the nurse's priority assessment?
Correct Answer: A
Rationale: Monitoring skin integrity at pin sites is critical to detect infection or tissue breakdown in skeletal traction.