NCLEX-RN
Free NCLEX RN Practice Test Questions
Extract:
Question 1 of 5
A nurse reviewed a client's progress in smoking cessation, praising the client for being successful but suggesting the client might stop having coffee in the morning since that caused an urge to smoke. Following this session, the client appeared upset and complained that the nurse believed she was doing poorly because she wanted a cigarette with her morning coffee. Which type of cognitive distortion is the client exhibiting?
Correct Answer: B
Rationale: Mental filter (
B) involves focusing only on the negative (nurse's suggestion) and ignoring praise, leading to the client's misinterpretation.
Question 2 of 5
The nursing assistant finds a client on the floor. Once the client is safe, which of the following should the nurse do next?
Correct Answer: B
Rationale: Falls require documentation in the medical record and an incident report to track safety issues and ensure follow-up.
Question 3 of 5
The nurse caring for a client diagnosed with metastatic cancer of the bone is exhibiting mental confusion and a BP of 150/100. Which laboratory value would correlate with the client's symptoms reflecting a common complication with this diagnosis?
Correct Answer: B
Rationale: Bone metastasis often causes hypercalcemia (calcium 13 mg/dL is elevated), leading to confusion and hypertension. The other values are normal or unrelated.
Question 4 of 5
Four clients are admitted to a medical unit. If only one private room is available, it should be assigned to:
Correct Answer: B
Rationale: Neutropenia increases infection risk, so a private room minimizes exposure to pathogens.
Question 5 of 5
The nurse is assessing a newborn in the well-baby nursery. Which finding should alert the nurse to the possibility of a cardiac anomaly?
Correct Answer: A
Rationale: Diminished femoral pulses suggest coarctation of the aorta, a cardiac anomaly, requiring further evaluation.