NCLEX-RN
NCLEX RN Practice Test Questions
Extract:
Question 1 of 5
The nurse caring for a client with a head injury would recognize which assessment finding as the most indicative of increased ICP?
Correct Answer: D
Rationale: Papilledema (optic disc swelling) is a specific sign of increased ICP due to pressure on the optic nerve. Nausea, headache, and dizziness are less specific.
Question 2 of 5
The nurse is precepting a student nurse on the medical-surgical unit. The student nurse is preparing to administer insulin. Which action by the student nurse calls for immediate intervention?
Correct Answer: B
Rationale: Regular insulin is the only type safe for IV administration; other insulins like NPH are not, requiring immediate intervention.
Question 3 of 5
The nurse is administering afternoon medications, which include an antihypertensive med and aspirin for pain relief. Which of the following should the nurse do first before administering the medications?
Correct Answer: A
Rationale: Verifying the client’s identity using two identifiers (name and date of birth on wristband) ensures medication safety per protocol.
Question 4 of 5
The nurse is caring for a client with a basal cell epithelioma. The primary cause of basal cell epithelioma is:
Correct Answer: A
Rationale: Basal cell epithelioma is primarily caused by prolonged sun exposure.
Question 5 of 5
Which of the following findings would be expected in the infant with biliary atresia?
Correct Answer: C
Rationale: Biliary atresia causes abdominal distention due to bile accumulation and poor weight gain due to malabsorption.