NCLEX-RN
NCLEX RN Practice Questions Questions
Extract:
Question 1 of 5
One of the most important criteria for the diagnosis of physical abuse is inconsistency between the appearance of the injury and the history of how the injury occurred. Which one of the following situations should alert the nurse to the possibility of abuse?
Correct Answer: A
Rationale: Sock and mitten burns (circumferential burns on hands and feet) are inconsistent with a fall into a bathtub and suggest immersion, raising suspicion of abuse.
Question 2 of 5
A 40-year-old male client has been diagnosed with Huntington disease and his spouse asks the nurse if their 3-year-old son should be tested to determine if the son inherited the genetic disorder. Which of the following is the most appropriate response?
Correct Answer: B
Rationale: Referring to a genetic counselor (
B) ensures informed decision-making about testing a child for Huntington's. Other responses (A, C,
D) are directive or dismissive.
Question 3 of 5
The nurse employed in the emergency room is responsible for triage of four clients injured in a motor vehicle accident. Which of the following clients should receive priority in care?
Correct Answer: B
Rationale: Sternal bruises suggest potential chest trauma, requiring priority.
Question 4 of 5
A client with a T6 injury 6 months ago develops facial flushing and a BP of 210/106. After elevating the head of the bed, which is the most appropriate nursing action?
Correct Answer: B
Rationale: The symptoms suggest autonomic dysreflexia, often triggered by a distended bladder in spinal cord injury patients. Assessing and relieving the bladder is the priority after elevating the bed.
Question 5 of 5
An elderly client with glaucoma is scheduled for a cholecystectomy. Which medication order should the nurse question?
Correct Answer: C
Rationale: Atropine is contraindicated in glaucoma as it can increase intraocular pressure, worsening the condition.