NCLEX-RN
NCLEX RN Practice Test Questions
Extract:
Question 1 of 5
The nurse is assessing a client who has a sacral pressure ulcer. The wound has partial thickness, loss of dermis, and a red-pink wound bed. No slough is present. How would the nurse chart this wound?
Correct Answer: B
Rationale: A partial-thickness ulcer with loss of dermis and a red-pink bed is Stage II. Stage I is non-blanchable redness, Stage III involves full-thickness loss, and Stage IV exposes muscle or bone.
Question 2 of 5
A nurse is teaching a group of teenagers the correct technique for applying a condom. Which point would the nurse include in the teaching plan?
Correct Answer: B
Rationale: The condom should be unrolled completely over the erect penis to ensure proper fit and protection. Condoms are single-use, petroleum jelly damages latex, and water isn't used.
Question 3 of 5
The nurse is caring for a client with marked clubbing of the fingers and toes. The nurse understands which to be true regarding clubbing? Select all that apply.
Correct Answer: A,C,E,F
Rationale: Clubbing is permanent, associated with sickle cell disease, right-sided heart failure, and congenital heart defects due to chronic hypoxia. Dialysis and acute oxygen deprivation are not typical causes.
Question 4 of 5
A client is to be discharged with a tracheostomy. Which of the following should the nurse most stress when educating the client about home management? Select all that apply.
Correct Answer: B,D
Rationale: Pulmonary hygiene (
B) and tracheostomy care (
D) are critical to prevent infections and maintain airway patency. Bowel care (
A), supplements (
C), and exercise (E) are secondary.
Question 5 of 5
The RN is making assignments for the morning staff. Which client should be cared for by the RN?
Correct Answer: D
Rationale: Hemoptysis indicates potential severe bleeding, requiring the RN's advanced assessment and intervention skills.