NCLEX-RN
NCLEX RN Practice Exam Questions
Extract:
Question 1 of 5
For which of the following reasons would the nurse use the Braden Scale to assess a client?
Correct Answer: B
Rationale: The Braden Scale assesses risk for pressure sores (
B) by evaluating factors like mobility and skin moisture. It is not used for delirium (
A), falls (
C), or substance abuse (
D).
Question 2 of 5
The nurse is caring for a client with a wound that presents with full-thickness tissue loss and eschar covering the wound bed. The nurse would record this wound as which stage?
Correct Answer: E
Rationale: Eschar covering the wound bed makes it unstageable, as the depth cannot be assessed until debridement.
Question 3 of 5
A client with a right lobectomy is being transported from the intensive care unit to a medical unit. The nurse understands that the client's chest drainage system:
Correct Answer: B
Rationale: The chest tube should remain unclamped and disconnected from suction during transport to prevent tension pneumothorax, with the system kept below chest level.
Question 4 of 5
The nurse is working on a discharge teaching plan for a client prescribed phenelzine (Nardil), a monoamine oxidase inhibitor (MAOI drug). The nurse knows teaching was successful if the client states,
Correct Answer: A
Rationale: MAOIs like phenelzine require avoiding tyramine-rich foods (e.g., wine, aged cheese) to prevent hypertensive crisis. Dairy, vitamin K, and fiber are not contraindicated.
Question 5 of 5
The floor nurse sees a new order in a client's chart for levothyroxine (Synthroid) 125 mcg PO every day. The pharmacy sends up Synthroid 0.1 mg tablets. How many tablets should the nurse administer? Calculate and fill in the blank.
Correct Answer: 1.25
Rationale: 125 mcg = 0.125 mg. 0.125 mg ÷ 0.1 mg/tablet = 1.25 tablets.