NCLEX-RN
NCLEX RN Practice Questions Questions
Extract:
Question 1 of 5
The nurse is assessing a client with suspected multiple sclerosis. Which of the following findings would the nurse expect?
Correct Answer: B
Rationale: vision changes and muscle weakness are common symptoms of multiple sclerosis due to demyelination
Question 2 of 5
On the second post-operative day after a subtotal thyroidectomy, the client tells the nurse, 'I feel numbness and my face is twitching.' What is the nurse's best initial action?
Correct Answer: C
Rationale: Numbness and facial twitching suggest hypocalcemia due to parathyroid gland damage during thyroidectomy, requiring immediate physician notification for calcium supplementation.
Question 3 of 5
The nurse is caring for an unvaccinated child who developed complications related to German measles (rubella). Which of the following infection control protocols is appropriate?
Correct Answer: C
Rationale: Rubella is transmitted via respiratory droplets, requiring standard and droplet precautions (
C). Contact (
B) and airborne (
D) precautions are not indicated for rubella.
Question 4 of 5
The nurse is caring for a client in the intensive care unit. The nurse recognizes that to prevent sensory alteration in a client, the nurse needs to do which of the following interventions? Select all that apply.
Correct Answer: A, C
Rationale: Orienting the client and explaining care reduce sensory deprivation and confusion, while limiting visitors or consistent lighting may not be beneficial.
Question 5 of 5
The nurse is performing the skill of intramuscular injection by the Z track method. Which technique would the nurse utilize to prevent tracking of the medication?
Correct Answer: D
Rationale: The Z-track method involves drawing up 0.2 mL of air to create an air lock, preventing medication leakage into subcutaneous tissue. The other options don't address tracking.