NCLEX-RN
NCLEX RN Free Practice Questions Questions
Extract:
Question 1 of 5
On a home visit, the nurse finds four young children alone. The youngest of the children has bruises on the face and back and circular burns on the inner aspect of the right forearm. The nurse should:
Correct Answer: A
Rationale: Bruises and circular burns suggest abuse, requiring mandatory reporting to child welfare services for investigation and protection. Transporting or staying is secondary to reporting.
Question 2 of 5
The home care nurse is preparing a teaching plan for a client with deficiencies in folic acid. Which foods will increase the clients' folic acid level?
Correct Answer: A, B, D
Rationale: Folic acid-rich foods include broccoli (
A), cabbage (
B), and dried fruit (
D). Chicken (
C), white bread (E), and milk (F) are low in folate.
Question 3 of 5
A 2-year-old boy is in the hospital outpatient department for observation after falling out of his crib and hitting his head. The nurse calls the physician to report:
Correct Answer: D
Rationale: Perineal irritation needs to be addressed, but it is probably not necessary to call the physician. This fall in pulse rate remains within normal limits and is probably insignificant. It is important to monitor for continued change. This rise in pulse rate is probably not significant, but it is important to monitor for continued change. This temperature is above normal limits and needs medical investigation. It may or may not be related to the head injury.
Question 4 of 5
A client is admitted to the labor room. She is dilated 4 cm. She is placed on electric fetal monitoring. Which of the following observations necessitates notifying the physician?
Correct Answer: A
Rationale: These are tetanic in nature and can cause rupture of the uterus. The FHR decreases during contractions owing to vasoconstriction and should recover after the contraction. Beat-to-beat variability is a normal finding and demonstrates fetal well-being. The FHR may decrease at the beginning of a contraction owing to head compression.
Question 5 of 5
The nurse is caring for a client with diabetes mellitus. Which instruction should be given to the client?
Correct Answer: D
Rationale: Numbness and tingling in the feet and toes may indicate diabetic neuropathy a serious complication requiring prompt reporting. Avoiding stairs reducing sodium or daily weighing are not specific to diabetes management unless indicated.