NCLEX-RN
NCLEX RN Practice Test Questions
Extract:
Question 1 of 5
An infant's Apgar score is 9 at 5 minutes. The most likely cause for the deduction of one point is:
Correct Answer: C
Rationale: Blue hands and feet (acrocyanosis) are common in newborns and likely cause a 1-point deduction in the appearance category of the Apgar score.
Question 2 of 5
A client with an inguinal hernia asks the nurse why he should have surgery when he has had a hernia for years. The nurse understands that surgery is recommended to:
Correct Answer: A
Rationale: Surgery is recommended for an inguinal hernia to prevent strangulation, which can lead to bowel obstruction and tissue necrosis.
Question 3 of 5
A nurse has been hired by a company to educate employees on health risks. Which of the following may suggest substance abuse by certain employees in the workplace? Select all that apply.
Correct Answer: A,C
Rationale: Frequent call-ins, tardiness, and poor performance evaluations are behavioral indicators of potential substance abuse. Taking allocated breaks, socializing after work, or eating alone are not typically associated with substance abuse.
Question 4 of 5
The physician's notes state that a client with cocaine addiction has formication. The nurse recognizes that the client has:
Correct Answer: A
Rationale: Formication is a tactile hallucination, often described as feeling bugs crawling on the skin, commonly associated with cocaine use.
Question 5 of 5
The physician orders the removal of an in-dwelling catheter the second postoperative day for a client with a prostatectomy. The client complains of pain and dribbling of urine the first time he voids. The nurse should tell the client that:
Correct Answer: D
Rationale: Pain and dribbling post-catheter removal are common due to bladder irritation and will typically improve within days.