NCLEX-RN
NCLEX-RN Exam Practice Questions
Extract:
Question 1 of 5
The nurse is caring for a client following a right nephrolithotomy. Post-operatively, the client should be positioned:
Correct Answer: C
Rationale: Positioning on the left side helps reduce pressure on the surgical site (right kidney) and promotes drainage and comfort post-nephrolithotomy.
Question 2 of 5
Based on your knowledge of genetic inheritance, which of these statements is true for autosomal recessive genetic disorders?
Correct Answer: D
Rationale: If both parents are affected by the disorder and are not just carriers, then all their children would manifest the same disorder.
Question 3 of 5
While caring for an elderly patient with hypertension, the nurse notes the following vital signs: BP of 140/40, pulse 120, respirations 36. The nurse's initial action should be to:
Correct Answer: A
Rationale: The vital signs indicate a wide pulse pressure (140/40), tachycardia (pulse 120), and tachypnea (respirations 36), suggesting possible cardiovascular or respiratory distress. The nurse should report these findings to the physician immediately for further evaluation, as they may indicate a serious condition like heart failure or shock.
Question 4 of 5
A 55-year-old man has recently been diagnosed with hypertension. His physician orders a low-sodium diet for him. When he asks, 'What does salt have to do with high blood pressure?' the nurse's initial response would be:
Correct Answer: B
Rationale: Excess salt causes fluid retention, increasing blood volume and thus blood pressure.
Question 5 of 5
The day following his admission, the nurse sits down by a male client on the sofa in the dayroom. He was admitted for depression and thoughts of suicide. He looks at the nurse and says, 'My life is so bad no one can do anything to help me.' The most helpful initial response by the nurse would be:
Correct Answer: C
Rationale: This response does not acknowledge the client's feelings and may increase his feelings of guilt. This response denotes false reassurance. This response acknowledges the client's feelings and invites a response. This response changes the subject and does not allow the client to talk about his feelings.