NCLEX-RN
NCLEX RN Practice Test Questions
Extract:
Question 1 of 5
The home health nurse is planning for the day's visits. Which client should be seen first?
Correct Answer: C
Rationale: The client with a decubitus ulcer is at risk for infection and complications, making them the priority for assessment.
Question 2 of 5
The nurse is assessing a client who has a sacral pressure ulcer. The wound has partial thickness, loss of dermis, and a red-pink wound bed. No slough is present. How would the nurse chart this wound?
Correct Answer: B
Rationale: A partial-thickness ulcer with loss of dermis and a red-pink bed is Stage II. Stage I is non-blanchable redness, Stage III involves full-thickness loss, and Stage IV exposes muscle or bone.
Question 3 of 5
The nurse is teaching a client with chronic obstructive pulmonary disease (COPD) about energy conservation techniques. Which of the following statements by the client indicates understanding?
Correct Answer: B
Rationale: pacing activities and resting as needed conserves energy and reduces fatigue in COPD
Question 4 of 5
The home health nurse is scheduled to visit four clients. Which client should she visit first?
Correct Answer: A
Rationale: The AIDS client with fever and cough may have an acute infection like pneumonia, requiring urgent assessment.
Question 5 of 5
What airborne precautions should the nurse anticipate when a client with measles is admitted to the hospital? Select all that apply.
Correct Answer: C,D
Rationale: Measles requires airborne precautions, including a negative pressure room (
C) and an N-95 respirator (
D). Surgical masks (
A) are insufficient, and dedicated entrances (E) are not standard. Client masking during transport (
B) is recommended but not always mandatory.