NCLEX-RN
Free NCLEX RN Practice Questions Questions
Extract:
Question 1 of 5
A woman is receiving outpatient treatment at a mental health center. She starts crying and tells the nurse her husband has filed for divorce. The best response from the nurse is
Correct Answer: D
Rationale: An open-ended response like 'Tell me what happened' encourages the client to express feelings, fostering therapeutic communication.
Question 2 of 5
The nurse is caring for a 70-year-old client with hypovolemia who is receiving a blood transfusion. Assessment findings reveal crackles on chest auscultation and distended neck veins. What is the nurse's initial action?
Correct Answer: A
Rationale: Crackles and distended neck veins suggest fluid overload from the transfusion. Slowing the transfusion reduces further overload while maintaining access. Stopping it entirely or documenting only delays intervention.
Question 3 of 5
The nurse is caring for a client whose native language is Korean; he speaks only a few words of English. The health care provider has determined that the client needs to undergo a coronary artery bypass graft. Which is the appropriate action by the nurse?
Correct Answer: D
Rationale: A licensed translator ensures accurate communication and informed consent, adhering to ethical and legal standards.
Question 4 of 5
What is the responsibility of the nurse in obtaining an informed consent for surgery?
Correct Answer: D
Rationale: The nurse's role is to witness the client's signature and ensure the consent form is completed, not to explain the procedure.
Question 5 of 5
The nurse is teaching a client with limited mobility about preventing blood clots. Which statement by the nurse is correct?
Correct Answer: A
Rationale: Crossing legs can impede venous return, increasing clot risk, so avoiding this is correct. Long car rides are a risk but not limited to two hours, and pillows under knees can worsen circulation.