NCLEX-RN
RN NCLEX Practice Questions Questions
Extract:
Question 1 of 5
The client with a myocardial infarction comes to the nurse's station stating that he is ready to go home because there is nothing wrong with him. Which defense mechanism is the client using?
Correct Answer: B
Rationale: Denial involves refusing to acknowledge a serious condition.
Question 2 of 5
A client is hospitalized in a long-term care facility because of Alzheimer disease. The client is incontinent of urine and feces. The nurse has delegated incontinent care to unlicensed assistive personnel (UAP). How frequently should the nurse advise that the UAP check the client for dryness?
Correct Answer: A
Rationale: Checking every 2 hours (
A) ensures timely care to prevent skin breakdown in an incontinent client. Hourly checks (
B) are excessive, and checking only when restless (
C) or before meals (
D) is insufficient.
Question 3 of 5
A client is receiving oxygen per nasal cannula at 3 L/minute. Which of the following is the approximate inspired oxygen concentration (FiO2)?
Correct Answer: D
Rationale: Nasal cannula at 3 L/min delivers approximately 28-32% FiO2 (
D), as each liter adds about 4% above room air (21%).
Question 4 of 5
Which of the following would be considered a sensible type of fluid loss?
Correct Answer: A
Rationale: Sensible fluid loss is measurable, such as sweat or urine. Respiratory excretions, vomit, and fecal water loss are insensible (not easily measured).
Question 5 of 5
A client in cardiac arrest is given 40 units of vasopressin (Pitressin) IV push. The nurse knows the desired action of this medication in a cardiac arrest is to
Correct Answer: A
Rationale: Vasopressin, used in cardiac arrest, is a vasopressor that raises blood pressure by vasoconstriction, improving perfusion during CPR.