NCLEX-RN
Free NCLEX RN Practice Test Questions
Extract:
Question 1 of 5
A woman is admitted to the labor and delivery unit in a sickle cell crisis. Which of the following nursing actions is the HIGHEST priority?
Correct Answer: C
Rationale: adequate hydration is a priority for any client with sickle cell crisis
Question 2 of 5
A 17-year-old adolescent, diagnosed with schizophrenia, is admitted by the nurse to a psychiatric facility. Which behaviors would characterize this diagnosis? Select all that apply.
Correct Answer: A,C
Rationale: Flat affect and hallucinations are hallmark symptoms of schizophrenia. Fast speech or feeling energized may occur but are not specific to this diagnosis.
Question 3 of 5
A client with acute leukemia develops a low white blood cell count. In addition to the institution of isolation, the nurse should:
Correct Answer: D
Rationale: Sealed, single-serving foods reduce infection risk in neutropenic patients.
Question 4 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 5 of 5
A post-operative client with an abdominal wound tries to reach over and take a book off the bedside table. He immediately screams and calls for the nurse. The nurse notices serosanguineous drainage coming from the incision on the abdomen. The first action the nurse should take is to
Correct Answer: A
Rationale: Covering the incision with a sterile dressing prevents contamination and infection, which is the immediate priority. Assessing vitals or notifying the surgeon follows after stabilizing the wound.