NCLEX-RN
NCLEX-RN Exam Practice Questions
Extract:
Question 1 of 5
In healthcare settings, nurses must be familiar with primary, secondary, and tertiary levels of care. As a nurse in the community, which of the following interventions might be a primary prevention strategy?
Correct Answer: C
Rationale: Reducing the incidence of disease through education supports primary prevention.
Question 2 of 5
The physician has ordered Coumadin (sodium warfarin) for a client with a history of clots. The nurse should tell the client to avoid which of the following vegetables?
Correct Answer: B
Rationale: Cauliflower is high in vitamin K, which can counteract the anticoagulant effects of warfarin, so it should be limited.
Question 3 of 5
A client with a C4 spinal cord injury has been placed in traction with cervical tongs. Nursing care should include:
Correct Answer: D
Rationale: Sterile pin care prevents infection at the cervical tong insertion sites, a critical nursing responsibility. Releasing traction, loosening pins, or elevating the bed risks spinal instability.
Question 4 of 5
Which emergency interventions should be carried out for the patient with a venomous snake bite of the right hand?
Correct Answer: A, E
Rationale: Snake bite management includes lying down (
A) to reduce venom spread and immobilizing the limb below heart level (E) to slow circulation. Oral antihistamines (
B) are ineffective acutely, history (
C) is secondary, and anti-venin testing (
D) is controversial and not routine.
Question 5 of 5
The client is admitted with a diagnosis of gestational trophoblastic disease. Which diagnostic test is most likely to be ordered?
Correct Answer: C
Rationale: Serum hCG levels are markedly elevated in gestational trophoblastic disease and ultrasound reveals a characteristic “snowstorm” pattern or grape-like vesicles. Both tests are essential for diagnosis.