NCLEX-RN
RN NCLEX Practice Questions Questions
Extract:
Question 1 of 5
The charge nurse overhears the patient care assistant speaking harshly to the client with dementia. The charge nurse should:
Correct Answer: B
Rationale: Exploring the interaction addresses the behavior appropriately.
Question 2 of 5
A client's serum sodium level is 113 mEq/L. The nurse would expect which findings upon assessment?
Correct Answer: A
Rationale: Severe hyponatremia (113 mEq/L) causes neurological symptoms like headache, confusion, muscle weakness, and fatigue due to cerebral edema.
Question 3 of 5
A 6-month-old client is admitted with possible intussuception. Which question during the nursing history is least helpful in obtaining information regarding this diagnosis?
Correct Answer: C
Rationale: The usual diet is less directly related to diagnosing intussusception compared to symptoms like pain, vomiting, or abdominal changes.
Question 4 of 5
When examining an 80-year-old client with chronic COPD receiving home health care, the nurse notes that over the previous 48 hours the client has developed scattered painful pustular lesions on the right arm near the elbow (see photo), on the back of the neck, the face, and on both legs. Which of the following does the nurse suspect is the most likely cause of the lesions?
Correct Answer: C
Rationale: Painful pustular lesions in a client with chronic illness suggest MRSA (
C), a common healthcare-associated infection. Psoriasis (
A) presents with scaly plaques, herpes zoster (
B) follows a dermatomal pattern, and contact dermatitis (
D) is typically itchy, not pustular.
Question 5 of 5
Heparin has been ordered for a client with pulmonary embolis. Which statement, if made by the graduate nurse, indicates a lack of understanding of the medication?
Correct Answer: D
Rationale: Aspirating during heparin injection is incorrect, as it increases the risk of hematoma formation in subcutaneous administration.