NCLEX-RN
NCLEX RN Practice Exam Questions
Extract:
Question 1 of 5
The client is admitted following repair of a fractured tibia and cast application. Which nursing assessment should be reported to the doctor?
Correct Answer: C
Rationale: Weak and rapid pedal pulses suggest compromised circulation, which requires immediate reporting to prevent complications like compartment syndrome.
Question 2 of 5
The nurse is caring for a client who is disoriented. To avoid using restraints, the nurse chooses alternative methods to help keep the client oriented. Which interventions would the nurse use for this client? Select all that apply.
Correct Answer: A,C,D,E
Rationale:
Toileting routines, medication review, familiar items, and calendars/clocks promote orientation. Minimizing visitation may isolate the client, and room placement is less relevant.
Question 3 of 5
The nurse is working with another nurse and a patient care assistant. Which of the following clients should be assigned to the registered nurse?
Correct Answer: D
Rationale: A post-thoracotomy patient requires RN monitoring for respiratory complications.
Question 4 of 5
A 72-year-old client with Parkinson disease is recovering from pneumonia and is to be discharged, but he remains weak and has poor control of his hands because of tremors. A home health aide will visit three times weekly to assist the client to bathe, and his daughter will visit every evening after work to help with laundry and housework. Which of the following referrals is most indicated to allow the client to remain independent in his home?
Correct Answer: D
Rationale: An occupational therapist (
D) can help with adaptive strategies for tremors, promoting independence. Meal delivery (
A), visitors (
B), and hospice (
C) are less relevant.
Question 5 of 5
The nurse is reviewing the lab results of four clients. Which finding should be reported to the physician?
Correct Answer: C
Rationale: A hematocrit of 52% in gastroenteritis suggests dehydration, which requires immediate reporting.