NCLEX-RN
NCLEX RN Practice Test Questions
Extract:
Question 1 of 5
An elderly client who experiences nighttime confusion wanders from his room into the room of another client. The nurse can best help with decreasing the client's confusion by:
Correct Answer: D
Rationale: A nightlight reduces disorientation and confusion in elderly clients by providing visual cues in the dark.
Question 2 of 5
A newborn diagnosed with bilateral choanal atresia is scheduled for surgery soon after delivery. The nurse recognizes the immediate need for surgery because the newborn:
Correct Answer: D
Rationale: Bilateral choanal atresia blocks the nasal passages, preventing nasal breathing, which is critical for newborns who are obligate nose breathers.
Question 3 of 5
After attending a company picnic, several clients are admitted to the emergency room with E. coli food poisoning. The most likely source of infection is:
Correct Answer: A
Rationale: Undercooked hamburger is a common source of E. coli, particularly strains like O157:H7, which can contaminate ground beef.
Question 4 of 5
Following application of a right BK prosthesis for an amputated limb, the client returns for evaluation, and the nurse notes that the client has an unstable gait and the right hip and knee are showing signs of slight flexion contractures. The client admits to infrequent use of the prosthesis. Which of the following interventions are most indicated? Select all that apply.
Correct Answer: A,B,D
Rationale: Sympathetic encouragement (
A), retraining (
B), and counseling (
D) address infrequent use and contractures constructively. Chastising (
C) is non-therapeutic and demotivating.
Question 5 of 5
The nurse caring for clients with coronary artery disease recognizes which one of the following as a modifiable risk factor?
Correct Answer: C
Rationale: An elevated LDL level (180 mg/dL) is modifiable through diet, exercise, and medication, unlike family history, race, or gender, which are non-modifiable.