NCLEX-RN
NCLEX RN Practice Exam Questions
Extract:
Question 1 of 5
The doctor has ordered neurological checks every 30 minutes for a client injured in a biking accident. Which finding indicates that the client's condition is satisfactory?
Correct Answer: A
Rationale: A Glasgow Coma Scale score of 13 indicates mild brain injury, suggesting a satisfactory condition compared to the other abnormal findings.
Question 2 of 5
A client visits the clinic after the death of a parent. Which statement made by the client's sister signifies abnormal grieving?
Correct Answer: D
Rationale: Denial of grief, as indicated by acting like nothing has happened, suggests abnormal grieving, as it may reflect an inability to process the loss.
Question 3 of 5
A nurse is assessing a 33-year-old patient who underwent a cholecystectomy 18 hours prior. The nurse notes 500 mL of greenish-brown fluid has drained from the T-tube postoperatively. The nurse should
Correct Answer: A
Rationale: Greenish-brown drainage (bile) from a T-tube post-cholecystectomy is expected (up to 500-1000 mL/day initially). The nurse should document and monitor, not assume infection or intervene unnecessarily.
Question 4 of 5
A vaginal exam reveals a breech presentation in a newly admitted client. The nurse should take which of the following actions at this time?
Correct Answer: B
Rationale: Applying the fetal heart monitor assesses fetal well-being in a breech presentation, guiding further management.
Question 5 of 5
A client with mania is unable to finish her dinner. To help her maintain sufficient nourishment, the nurse should:
Correct Answer: A
Rationale: High-calorie, portable foods accommodate the restlessness and distractibility of mania, ensuring adequate nutrition.