NCLEX-RN
Free NCLEX RN Practice Test Questions
Extract:
Question 1 of 5
An older adult has become very confused after surgery for repair of a hip fracture. The client has repeatedly tried to climb over the bedrails and the nurse is considering placing the client in a Posey vest that is secured to the bed. Which of the following must the nurse consider when applying restraints to a client? Select all that apply.
Correct Answer: A,C,D
Rationale: Alternatives (
A), reassessment every 2 hours (
C), and a written policy (
D) are required for restraints. Confused clients aren't always safer (
B), most restrictive (E) is incorrect, and an order is needed (F).
Question 2 of 5
A pregnant client, age 32, asks the nurse why her doctor has recommended a serum alpha fetoprotein. The nurse should explain that the doctor has recommended the test:
Correct Answer: D
Rationale: Serum alpha fetoprotein screening detects neural tube defects, such as spina bifida.
Question 3 of 5
Four clients are admitted to a medical unit. If only one private room is available, it should be assigned to:
Correct Answer: B
Rationale: Neutropenia increases infection risk, so a private room minimizes exposure to pathogens.
Question 4 of 5
When gathering evidence from a victim of rape, the nurse should place the victim's clothing in a:
Correct Answer: C
Rationale: A paper bag allows air circulation, preventing moisture that could degrade biological evidence.
Question 5 of 5
The nurse has documented a treatment on the wrong client's record. Which of the following methods of indicating the error is correct?
Correct Answer: A
Rationale: A single line through the error with 'error' written above and initialed (
A) maintains transparency while correcting the record. Correction fluid (
B) is unacceptable, multiple lines (
C) obscure the record, and margin notes (
D) are insufficient.