NCLEX-RN
NCLEX-RN Exam Practice Questions
Extract:
Question 1 of 5
The nurse has been asked to present a lecture on the prevention of West Nile virus in the community setting. Which does the nurse include in the teaching plan?
Correct Answer: A
Rationale: West Nile virus is transmitted by mosquitoes. Wearing protective clothing outside reduces exposure. Midday avoidance (
B) is less effective, DEET repellant (
C) is recommended, and the virus affects all ages, not just under 18 (
D).
Question 2 of 5
The physician has ordered Coumadin (sodium warfarin) for a client with a history of clots. The nurse should tell the client to avoid which of the following vegetables?
Correct Answer: B
Rationale: Cauliflower is high in vitamin K, which can counteract the anticoagulant effects of warfarin, so it should be limited.
Question 3 of 5
A postoperative prostatectomy client is preparing for discharge from the hospital the next morning. The nurse realizes that additional instructions are necessary when he states:
Correct Answer: C
Rationale: This is correct health teaching. Drinking 10-12 glasses of clear liquid will help increase urine volumes and prevent clot formation. This is correct health teaching. These types of exercises are prescribed by physicians to assist postprostatectomy clients to strengthen their perineal muscles. This action is not recommended post-TURP because of the close proximity of the prostate and rectum. This is correct healthcare teaching. The client should limit walking long distances, lifting heavy objects, or driving a car until these activities are cleared by the physician at the first office visit.
Question 4 of 5
While caring for an elderly patient with hypertension, the nurse notes the following vital signs: BP of 140/40, pulse 120, respirations 36. The nurse's initial action should be to:
Correct Answer: A
Rationale: The vital signs indicate a wide pulse pressure (140/40), tachycardia (pulse 120), and tachypnea (respirations 36), suggesting possible cardiovascular or respiratory distress. The nurse should report these findings to the physician immediately for further evaluation, as they may indicate a serious condition like heart failure or shock.
Question 5 of 5
The nurse is assessing a client with suspected hypovolemic shock. Which finding is most indicative?
Correct Answer: A
Rationale: Tachycardia is a hallmark of hypovolemic shock, compensating for reduced blood volume. Hypothermia (
B) is secondary, bradypnea (
C) is atypical, and hypertension (
D) is not associated.