NCLEX-RN
NCLEX RN Practice Questions Questions
Extract:
Question 1 of 5
A nurse who is a friend on a social media site with a coworker finds that the coworker has written on the media site confidential information about a well-known client's health history (information obtained from the client's her). What is the most appropriate response?
Correct Answer: D
Rationale: Reporting to a supervisor (
D) ensures proper handling of a HIPAA violation. Directly confronting the coworker (
A) may not ensure compliance, notifying the client (
B) is premature, and doing nothing (
C) ignores the breach.
Question 2 of 5
A 62-year-old female with osteoarthritis asks the nurse how she can ease her pain and discomfort. The nurse should include which of the following in the discharge plan for the client? Select all that apply.
Correct Answer: A,B,D,E
Rationale: Healthy weight, aspirin, warm compresses, and moderate exercise (e.g., walking) reduce osteoarthritis pain and stiffness. High-impact exercise (
C) can worsen joint damage.
Question 3 of 5
A nulliparous client has been admitted after 12 hours of mild contractions at home. On examination, the client is found to be fully effaced and dilated to 3 cm. Contractions are every 5 minutes and last approximately 60 seconds. The client asks the nurse approximately how long it should take to get to 10 cm dilation. Which of the following is the most appropriate response?
Correct Answer: D
Rationale: Nulliparous women progress at ~1 cm/hour in active labor. From 3 cm to 10 cm is 7 cm, so ~7 hours (
D) is expected.
Question 4 of 5
The nurse is educating a client about lifestyle modifications to manage hypertension. Which of the following modifications should the nurse recommend? Select all that apply.
Correct Answer: B,C,D,F
Rationale: Hypertension management includes regular aerobic exercise (
B), the DASH diet (
C), weight loss (
D), and smoking cessation (F). Limiting fluids (
A) is not standard, and moderate alcohol (E) is acceptable.
Question 5 of 5
The nurse has just received the shift report and is preparing to make rounds. Which client should be seen first?
Correct Answer: C
Rationale: The client with shortness of breath is at highest risk for respiratory distress and requires immediate assessment.