NCLEX-RN
NCLEX RN Practice Test Free Questions
Extract:
Question 1 of 5
The nurse is caring for a client 7 days post-burn injury with 60% body surface area involved. The nursing care of this client would primarily focus on:
Correct Answer: A
Rationale: At 7 days post-burn, infection is a major risk due to open wounds and immunosuppression, making meticulous infection control the primary focus.
Question 2 of 5
The nurse is caring for a client admitted to labor and delivery. The nurse is aware that the infant is in distress if she notes:
Correct Answer: B
Rationale: Absent variability on the fetal monitor indicates fetal distress, suggesting compromised oxygenation.
Question 3 of 5
A labor and delivery nurse is assessing a newborn baby boy. Which finding would indicate possible microcephaly?
Correct Answer: C
Rationale: Microcephaly is defined by a head circumference significantly below normal (e.g., lowest 10th percentile), indicating potential brain development issues.
Question 4 of 5
The nurse is caring for a client who is postoperative day 1 following a craniotomy. Which of the following positions should the nurse place the client in?
Correct Answer: B
Rationale: semi-Fowler’s position with the head elevated 30° reduces intracranial pressure and promotes venous drainage
Question 5 of 5
A school nurse is approached by a student who says that her friend has been cutting herself on the arms. The student asks the nurse not to tell anyone. Which response by the nurse is correct?
Correct Answer: A
Rationale: Self-harm indicates a safety risk, requiring parental notification to ensure the student receives appropriate intervention.