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
The nurse is teaching a client with a new diagnosis of atrial fibrillation about warfarin (Coumadin) therapy. Which of the following statements by the client indicates a need for further teaching?
Correct Answer: D
Rationale: warfarin should not be stopped without medical advice, as it increases the risk of clotting
Question 3 of 5
The nurse is working with a client in the psychiatric unit. The client has memory gaps, which she fills in with detailed fantasies that she believes to be true. The nurse understands that the client is exhibiting which type of abnormal thought process?
Correct Answer: B
Rationale: Confabulation involves filling memory gaps with fabricated details believed to be true, common in certain psychiatric or neurological conditions.
Question 4 of 5
The physician orders an MRI of the spine with infusion for an adult female. Which of the following findings in the client's history should the nurse report to the physician?
Correct Answer: A
Rationale: Shellfish allergy may indicate iodine sensitivity, a concern for MRI contrast, requiring physician evaluation to prevent allergic reactions.
Question 5 of 5
The nurse is caring for a client who is disoriented. To avoid using restraints, the nurse chooses alternative methods to help keep the client oriented. Which interventions would the nurse use for this client? Select all that apply.
Correct Answer: A,C,D,E
Rationale:
Toileting routines, medication review, familiar items, and calendars/clocks promote orientation. Minimizing visitation may isolate the client, and room placement is less relevant.