NCLEX-RN
Free NCLEX RN Practice Test Questions
Extract:
Question 1 of 5
The nurse is assessing a client who is 36 hours postpartum. Which of the following findings would indicate a need for further evaluation?
Correct Answer: D
Rationale: a temperature of 100.4°F may indicate infection, such as endometritis, and requires further evaluation
Question 2 of 5
The nurse is assessing a client with suspected hyperthyroidism. Which of the following findings would the nurse expect?
Correct Answer: B
Rationale: tremors and heat intolerance are common symptoms of hyperthyroidism due to increased metabolic rate
Question 3 of 5
Following femoral catheterization for percutaneous coronary intervention (PCI), the client has increasing pain in the catheterization site, and the nurse notes visible edema and induration surrounding the site. The nurse suspects a hematoma and notifies the physician. Which of the following interventions does the nurse anticipate? Select all that apply.
Correct Answer: A,B,C,D
Rationale: Hematoma management includes applying pressure (
A), marking edema (
B), monitoring hemoglobin/hematocrit (
C), and maintaining bedrest (
D). Clotting factors (E) are not typically needed.
Question 4 of 5
A client in ICU has a chest tube, and the nurse is assessing the chest tube drainage system. The nurse notices intermittent bubbling in the water seal chamber. What action should the nurse take?
Correct Answer: B
Rationale: Intermittent bubbling in the water seal chamber is normal during inspiration/expiration or coughing, indicating a patent system. It should be documented as a normal finding.
Question 5 of 5
The nurse is caring for a Muslim client who is recovering from an automobile accident and is unable to cleanse herself after a bowel movement. Which of the following should the nurse do to show respect for the woman's cultural and religious beliefs?
Correct Answer: B
Rationale: In Islamic culture, hygiene after defecation is important, and female clients may prefer assistance from female family members (
B) to maintain modesty. The left hand (
A) is traditionally used by the client, not the nurse. Gloves (
C) are standard but not cultural. The husband (
D) may not be appropriate due to modesty.