NCLEX-RN
NCLEX RN Practice Test Questions
Extract:
Question 1 of 5
The nurse expects a child with a deficiency in factor VIII to be diagnosed with
Correct Answer: A
Rationale: Factor VIII deficiency causes hemophilia A, a bleeding disorder due to impaired clotting.
Question 2 of 5
A client is admitted to the intensive care unit after falling on an icy sidewalk and striking the right side of the head. An MRI revealed a right-sided epidural hematoma. Which physical force explains the location of the client's injury?
Correct Answer: A
Rationale: A coup injury occurs at the site of impact, explaining the right-sided epidural hematoma from striking the right side of the head.
Question 3 of 5
The nurse is caring for a client with suspected meningitis who will be having a lumbar puncture. Which statement regarding aftercare is correct?
Correct Answer: D
Rationale: Post-lumbar puncture care includes assessing for neurological changes, pain, drainage, and voiding to detect complications like nerve injury or CSF leak.
Question 4 of 5
A client is admitted to an inpatient psychiatric unit after being found unresponsive as a result of prescribed opioid drugs. Upon awakening she attempts to get out of bed and is unsteady. The nurse is concerned that the client will fall. The doctor ordered a vest restraint to be applied as necessary to maintain client safety. The client refuses the restraints. The nurse should take which of the following actions?
Correct Answer: A
Rationale: Moving the client closer to the nursing station allows close monitoring without violating the client’s refusal of restraints, prioritizing safety and autonomy.
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.