NCLEX-RN
NCLEX RN Practice Questions PDF Questions
Extract:
Question 1 of 5
The nurse is caring for a client after a motor vehicle accident. The client has a fractured tibia, and bone is noted protruding through the skin. Which action is of priority?
Correct Answer: B
Rationale: An open fracture with protruding bone risks infection. Covering with a sterile dressing is the priority to prevent contamination. Traction or bandaging may worsen the injury.
Question 2 of 5
The nurse is teaching the mother of a newborn to care for the umbilical cord. What should the nurse advise the mother to do if the cord becomes soiled with urine or feces?
Correct Answer: C
Rationale: Washing with mild soap and water, rinsing, and drying (
C) cleans the umbilical cord safely without irritation. Alcohol (
A) and povidone-iodine (
D) may be too harsh, and a dry cloth (
B) is ineffective.
Question 3 of 5
A client has had a recent below-knee (BK) amputation of the right leg because of a traumatic injury. After removing the elastic wrap, which the client had applied, the nurse notes an unusual pattern of swelling. Which of the following is the most likely reason for this observation?
Correct Answer: C
Rationale: An unusual swelling pattern after removing an elastic wrap suggests incorrect wrap technique (
C), which can cause uneven pressure. Infection (
A), impaired circulation (
B), or bleeding (
D) would present differently.
Question 4 of 5
The nurse is preparing a client with an axillo-popliteal bypass graft for discharge. The client should be taught to avoid:
Correct Answer: C
Rationale: Sitting in a straight chair can compress the graft, impairing blood flow, and should be avoided to promote graft patency.
Question 5 of 5
A client is admitted to the medical-surgical unit with a report of severe hematemesis. The nurse should give priority to:
Correct Answer: C
Rationale: Severe hematemesis indicates significant bleeding, requiring immediate IV access with a large-bore needle for fluid and blood resuscitation to stabilize the client.