NCLEX-RN
NCLEX RN Practice 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: A
Rationale: Significant drainage post-lobectomy suggests potential hemorrhage, requiring urgent assessment.
Question 2 of 5
Which assignment should not be performed by the registered nurse?
Correct Answer: D
Rationale: Inserting sutures and clips is a surgical procedure typically performed by a surgeon, not a registered nurse.
Question 3 of 5
A client is scheduled for a hypophysectomy following the discovery of a pituitary gland tumor. The nurse is teaching the client about the procedure. Which statement by the client indicates effective learning? Select all that apply.
Correct Answer: A, C, D, E
Rationale: Soft toothbrushing, avoiding bending, not blowing the nose, and mouth breathing due to nasal packing are correct post-hypophysectomy instructions. The nasal pad should not be removed the next morning without orders.
Question 4 of 5
The nurse is teaching a client with a new diagnosis of gout about dietary management. Which of the following foods should the client avoid?
Correct Answer: B
Rationale: sardines are high in purines, which can exacerbate gout by increasing uric acid levels
Question 5 of 5
During the change of shift report, the nurse states that the client's last pulse strength was a 1+. The oncoming nurse recognizes that the client's pulse was:
Correct Answer: D
Rationale: A pulse strength of 1+ indicates a weak pulse, per standard pulse assessment scales.