NCLEX-RN
NCLEX RN Practice Questions
Extract:
Question 1 of 5
The client with an abdominal aortic aneurysm is admitted in preparation for surgery. Which of the following should be reported to the doctor?
Correct Answer: A
Rationale: An elevated white blood cell count may indicate infection or inflammation, which requires prompt reporting before surgery.
Question 2 of 5
A 14-year-old boy comes in for a yearly exam and confides in the nurse that he feels embarrassed he is shorter than most of the girls in his class. He asks if he will catch up in height. The best therapeutic response from the nurse is
Correct Answer: B
Rationale: This response validates the boy’s feelings, provides factual reassurance about growth during puberty, and is empathetic without dismissing his concerns.
Question 3 of 5
The nurse has just received the change of shift report. Which client should the nurse assess first?
Correct Answer: A
Rationale: Significant drainage post-lobectomy suggests potential hemorrhage, requiring urgent assessment.
Question 4 of 5
The nurse is precepting a student nurse in the ICU. Which statement regarding student nurses is correct? Select all that apply.
Correct Answer: B,D,E
Rationale: Student nurses can assist with tasks like repositioning (
B), provide care under supervision (
D), and discuss cases in educational settings without identifiers (E). They cannot administer medications independently (
A) or determine interventions (
C).
Question 5 of 5
A client returns from surgery with a total knee replacement. Which of the following findings requires immediate nursing intervention?
Correct Answer: B
Rationale: A CPM set at 90° flexion immediately post-knee replacement is excessive and could damage the surgical site, requiring immediate adjustment.