NCLEX-RN
NCLEX RN Practice Questions Questions
Extract:
Question 1 of 5
The nurse employed in the emergency room is responsible for triage of four clients injured in a motor vehicle accident. Which of the following clients should receive priority in care?
Correct Answer: B
Rationale: Sternal bruises suggest potential chest trauma, requiring priority.
Question 2 of 5
The nurse is monitoring a client following a lung resection. The hourly output from the chest tube was 300 mL. The nurse should give priority to:
Correct Answer: D
Rationale: A chest tube output of 300 mL per hour is excessive and may indicate hemorrhage, requiring immediate physician notification.
Question 3 of 5
The physician has ordered that a client recovering from back surgery be logrolled. The client has a draw sheet in place, and the nurse and an assistant are positioned with one on each side of the bed. Place the steps to logrolling (Roman numerals) in the correct sequence from first to last.
Order the Items
Source Container
Correct Answer: D,B,A,C
Rationale: Logrolling sequence: Cross arms (IV) to secure them, place pillow between knees (II) for alignment, roll patient (I), then place pillows along back (III) for support.
Question 4 of 5
The nurse is assessing a client with suspected multiple sclerosis. Which of the following findings would the nurse expect?
Correct Answer: B
Rationale: vision changes and muscle weakness are common symptoms of multiple sclerosis due to demyelination
Question 5 of 5
The nurse is working on a postsurgical floor with an LPN. A new client has just arrived. Which task is appropriate for the nurse to delegate to the LPN?
Correct Answer: A
Rationale: Taking vital signs is within an LPN’s scope. PICC line flushing, IV morphine, and TPN initiation require RN-level judgment.