NCLEX-RN
Free NCLEX RN Exam Practice Questions Questions
Extract:
Question 1 of 5
The nurse is assessing a client who has a long history of uncontrolled hypertension. The nurse should assess the client for damage in which area of the eye?
Correct Answer: C
Rationale: Uncontrolled hypertension can cause retinopathy, damaging the retina, which should be assessed.
Question 2 of 5
A client with a history of heart failure is admitted with dyspnea. Which position should the nurse place the client in?
Correct Answer: A
Rationale: Fowler's position (semi-upright) reduces preload and eases breathing in heart failure clients with dyspnea.
Question 3 of 5
You are working as a wound care nurse. You measure the size of a client's wound and it is 3 cm deep, 2 cm long and 4 cm wide. You would document the dimension of this wound as:
Correct Answer: B
Rationale: Wound dimensions are typically documented as length x width x depth (2 cm x 4 cm x 3 cm), but based on options, 12 cm may reflect a calculation error; correct documentation is individual measurements.
Question 4 of 5
A client with a history of liver cirrhosis is admitted with ascites. The nurse should monitor the client for which of the following complications?
Correct Answer: B
Rationale: Ascites can compress the diaphragm, leading to respiratory distress, a complication the nurse should monitor for in cirrhosis.
Question 5 of 5
The nurse is discussing safety and accident prevention with the mother of a 9-month-old. The teaching has been effective when the mother states which of the following?
Correct Answer: A
Rationale: Keeping cleaning supplies locked up indicates effective teaching on safety, as it prevents the child from accessing hazardous substances.