NCLEX-RN
NCLEX RN Free Practice Questions Questions
Extract:
Question 1 of 5
Following a vaginal delivery, the postpartum nurse should observe for:
Correct Answer: D
Rationale: Hemorrhage and infection are critical complications to monitor post-vaginal delivery due to potential uterine or perineal issues.
Question 2 of 5
A client with a history of tuberculosis is admitted with complaints of hemoptysis. The nurse should give priority to:"
Correct Answer: B
Rationale: Hemoptysis in tuberculosis indicates potential lung tissue damage, so monitoring respiratory status is critical to assess for airway compromise or worsening infection.
Question 3 of 5
A child is admitted with severe headache, fever, vomiting, photophobia, drowsiness, and stiff neck associated with viral meningitis. She will be more comfortable if the nurse:
Correct Answer: A
Rationale: The discomfort of photophobia is alleviated by dimming the lights. Helping the child to breathe slowly and deeply may help to reduce anxiety, but it will not alleviate other discomforts of viral meningitis. It is important to maintain fluid balance, but sips of warm liquids do not alleviate the discomforts of meningitis. A large, soft pillow under her head causing neck flexion is likely to increase her discomfort owing to stretching of the meninges.
Question 4 of 5
An adolescent client with cystic acne has a prescription for Accutane (isotretinoin). Which lab work is needed before beginning the medication?
Correct Answer: C
Rationale: Isotretinoin can cause liver toxicity, requiring a baseline liver profile to monitor for elevations in liver enzymes. CBC, urinalysis, and thyroid tests are not primary concerns.
Question 5 of 5
The nurse is caring for a client with a history of a stroke who has expressive aphasia. The nurse should:
Correct Answer: C
Rationale: Expressive aphasia impairs speech production. A whiteboard facilitates communication. Simple sentences help, but writing aids are critical, and loud speech or limiting interaction is unhelpful.