NCLEX-RN
NCLEX RN Practice Questions Questions
Extract:
Question 1 of 5
A nurse is preparing to administer a MMR vaccine to a 35-year-old male. The nurse should
Correct Answer: D
Rationale: MMR is an intramuscular vaccine, requiring a 90-degree angle injection (typically deltoid). Dorsogluteal is not preferred, and pinching is for subcutaneous injections.
Question 2 of 5
One of the most important criteria for the diagnosis of physical abuse is inconsistency between the appearance of the injury and the history of how the injury occurred. Which one of the following situations should alert the nurse to the possibility of abuse?
Correct Answer: A
Rationale: Sock and mitten burns (circumferential burns on hands and feet) are inconsistent with a fall into a bathtub and suggest immersion, raising suspicion of abuse.
Question 3 of 5
The nurse is evaluating the client's pulmonary artery pressure. The nurse is aware that this test evaluates:
Correct Answer: B
Rationale: A pulmonary artery catheter measures the systolic, diastolic, and mean pressures of the pulmonary artery.
Question 4 of 5
The nurse is teaching the client with polycythemia vera about prevention of complications of the disease. Which of the following statements by the client indicates a need for further teaching?
Correct Answer: A
Rationale: Limiting fluid intake to 500 mL per day is incorrect, as adequate hydration is essential in polycythemia vera to reduce blood viscosity and prevent thrombosis.
Question 5 of 5
A young male client who has recently become a quadriplegic makes a sexually inappropriate comment to the nurse. Which of the following statements by the nurse would be most appropriate?
Correct Answer: A
Rationale: Addressing the inappropriate comment directly sets clear boundaries while maintaining professionalism.