NCLEX-RN
NCLEX RN Practice Exam Questions
Extract:
Question 1 of 5
Each staff person has an individual password that allows access to electronic health records. Under which of the following circumstances should a nurse allow another staff person to use his/her password?
Correct Answer: D
Rationale: Passwords must not be shared (
D) to protect patient confidentiality and comply with HIPAA. Sharing with a physician (
A), nurse (
B), or supervisor (
C) is unauthorized.
Question 2 of 5
A client is admitted to the hospital with a temperature of 99.8°F, complaints of blood-tinged hemoptysis, fatigue, and night sweats. The client's symptoms are consistent with a diagnosis of:
Correct Answer: C
Rationale: The symptoms of low-grade fever, blood-tinged hemoptysis, fatigue, and night sweats are classic for tuberculosis.
Question 3 of 5
A vaginal exam reveals a breech presentation in a newly admitted client. The nurse should take which of the following actions at this time?
Correct Answer: B
Rationale: Applying the fetal heart monitor assesses fetal well-being in a breech presentation, guiding further management.
Question 4 of 5
A client is being treated for cancer with linear acceleration radiation. The physician has marked the radiation site with a blue marking pen. The nurse should:
Correct Answer: D
Rationale: Soap or lotion can remove radiation site markings or irritate the skin, so they should be avoided to ensure accurate treatment.
Question 5 of 5
A nurse is assessing a 33-year-old patient who underwent a cholecystectomy 18 hours prior. The nurse notes 500 mL of greenish-brown fluid has drained from the T-tube postoperatively. The nurse should
Correct Answer: A
Rationale: Greenish-brown drainage (bile) from a T-tube post-cholecystectomy is expected (up to 500-1000 mL/day initially). The nurse should document and monitor, not assume infection or intervene unnecessarily.