NCLEX-RN
NCLEX RN Practice Exam Questions
Extract:
Question 1 of 5
The nurse is caring for a client post-op femoral popliteal bypass graft. Which post-operative assessment finding would require immediate physician notification?
Correct Answer: D
Rationale: Loss of distal pulses indicates potential graft occlusion or arterial compromise, a surgical emergency requiring immediate notification.
Question 2 of 5
The client with color blindness will most likely have problems distinguishing which of the following colors?
Correct Answer: C
Rationale: Red-green color blindness is the most common type, making it difficult to distinguish red.
Question 3 of 5
The mother of a 24-month-old child tells the nurse that she is concerned that her child's language abilities are delayed. Which of the following language milestones does the nurse expect the child to exhibit?
Correct Answer: A
Rationale: A 24-month-old should understand about 300 words and use two- to three-word sentences (
A). Other options (B, C,
D) describe earlier developmental stages.
Question 4 of 5
The doctor has ordered neurological checks every 30 minutes for a client injured in a biking accident. Which finding indicates that the client's condition is satisfactory?
Correct Answer: A
Rationale: A Glasgow Coma Scale score of 13 indicates mild brain injury, suggesting a satisfactory condition compared to the other abnormal findings.
Question 5 of 5
The nurse is caring for a client who is disoriented. To avoid using restraints, the nurse chooses alternative methods to help keep the client oriented. Which interventions would the nurse use for this client? Select all that apply.
Correct Answer: A,C,D,E
Rationale:
Toileting routines, medication review, familiar items, and calendars/clocks promote orientation. Minimizing visitation may isolate the client, and room placement is less relevant.