NCLEX-RN
NCLEX RN Practice Exam Questions
Extract:
Question 1 of 5
The clinic nurse is seeing a client who suffers from caregiver strain due to caring for her elderly parents who have dementia and live with her. Which action by the nurse during the assessment is most important?
Correct Answer: A
Rationale: Assessing support systems identifies resources to alleviate caregiver strain, guiding interventions to reduce stress.
Question 2 of 5
A client has had diarrhea for the past 3 days. Which acid/base imbalance would the nurse expect the client to have?
Correct Answer: B
Rationale: Prolonged diarrhea leads to loss of bicarbonate, causing metabolic acidosis.
Question 3 of 5
A postoperative client whose oxygen saturation has been stable at 96% to 98% suddenly shows a drop to 80%. What initial response is most indicated?
Correct Answer: C
Rationale: Assessing and repositioning the pulse oximeter (
C) checks for false readings first. Oxygen (
B), notifying physician (
A), or ABGs (
D) follow if needed.
Question 4 of 5
The nurse is observing care given to a client experiencing severe to panic levels of anxiety. The nurse would intervene in which of the following situations?
Correct Answer: C
Rationale: in this level of anxiety, client is unable to process thoughts and feelings for problem solving
Question 5 of 5
Which statement is true regarding balanced skeletal traction? Balanced skeletal traction:
Correct Answer: A
Rationale: Balanced skeletal traction commonly uses a Steinman pin to stabilize fractures.