NCLEX-RN
Free NCLEX RN Practice Questions Questions
Extract:
Question 1 of 5
The nurse has just received the change of shift report. Which client should the nurse assess first?
Correct Answer: B
Rationale: A suspected subdural hematoma is a medical emergency due to potential brain compression, requiring immediate assessment to prevent deterioration.
Question 2 of 5
The physician has ordered a culture for the client with suspected gonorrhea. The nurse should obtain a culture of:
Correct Answer: D
Rationale: Gonorrhea is diagnosed by culturing genital secretions.
Question 3 of 5
Which one of the following infants needs a further assessment of growth?
Correct Answer: B
Rationale: The 2-week-old has only gained 2 oz since birth, which is inadequate (normal is 0.5-1 oz/day), indicating a need for growth assessment.
Question 4 of 5
A Turkish-speaking client is scheduled for a colonoscopy, and the nurse must provide printed directions to the client, but directions are not available in Turkish. Which of the following is most appropriate?
Correct Answer: A
Rationale: Contacting a medical translator (
A) ensures accurate communication for critical medical instructions. Using a child (
B) is unreliable, pictures/pantomime (
C) may be unclear, and advising the daughter to find a translator (
D) shifts responsibility inappropriately.
Question 5 of 5
The physician has ordered a blood test for H. pylori. The nurse should prepare the client by:
Correct Answer: B
Rationale: A blood test for H. pylori requires no special preparation, such as fasting or administration of substances.