NCLEX-RN
NCLEX RN Practice Questions
Extract:
Question 1 of 5
A tornado warning has been issued in the area surrounding the hospital. Which action by the nurse is most appropriate to ensure client safety?
Correct Answer: B
Rationale: Moving clients to the hallway, closing blinds, and shutting doors minimizes risks from flying debris and broken windows during a tornado.
Question 2 of 5
A woman comes to a community health clinic and expresses concern she may have been exposed to HIV. The community nurse draws blood for an ELISA test, which comes back as positive. The nurse should
Correct Answer: B
Rationale: A positive ELISA requires confirmation with a Western blot test to diagnose HIV, ensuring accuracy and reducing false positives.
Question 3 of 5
A client is admitted to the chemical dependency unit for poly-drug abuse. The client states, 'I don't know why you are all so worried; I am in control. I don't have a problem.' Which defense mechanism is being utilized?
Correct Answer: D
Rationale: Denial is the defense mechanism where the client refuses to acknowledge the reality of their substance abuse problem, minimizing its severity.
Question 4 of 5
The client with an abdominal aortic aneurysm is admitted in preparation for surgery. Which of the following should be reported to the doctor?
Correct Answer: A
Rationale: An elevated white blood cell count may indicate infection or inflammation, which requires prompt reporting before surgery.
Question 5 of 5
The nurse is caring for clients on the postpartum unit. Which of the following should the nurse assess first?
Correct Answer: C
Rationale: A placenta delivered 10 minutes after the infant is at risk for retained fragments, which can cause postpartum hemorrhage, requiring immediate assessment.