NCLEX-RN
NCLEX RN Practice Questions
Extract:
Question 1 of 5
The nurse is caring for a client who has just been diagnosed with ovarian cancer. The nurse is using silence as an effective therapeutic response. How is silence an effective therapeutic response?
Correct Answer: C
Rationale: Silence gives the client space to process emotions and guide the conversation, enhancing therapeutic communication.
Question 2 of 5
The nurse is caring for a client who just arrived in the PACU following a colonoscopy with polyp removal. The client's level of sedation is assessed using the Ramsay Sedation Scale (RSS). The client responds quickly, but only to commands. What Ramsay score would the nurse chart for this client?
Correct Answer: C
Rationale: RSS 3 indicates a client who responds quickly to commands only, matching the description, per the Ramsay Sedation Scale.
Question 3 of 5
The nurse is caring for a client who is receiving chemotherapy for leukemia. The client’s latest laboratory results show a white blood cell count of 2,000/mm³. Which of the following nursing actions is the HIGHEST priority?
Correct Answer: C
Rationale: a white blood cell count of 2,000/mm³ indicates neutropenia, and initiating neutropenic precautions is the priority to prevent infection
Question 4 of 5
The nurse caring for a client after a suspected CVA recognizes which nursing diagnosis as the priority?
Correct Answer: C
Rationale: Alteration in cerebral tissue perfusion is the priority after a CVA, as it directly affects brain oxygenation and function, impacting all other functions.
Question 5 of 5
The nurse is providing dietary instructions to the mother of an 8-year-old child diagnosed with celiac disease. Which of the following foods, if selected by the mother, would indicate her understanding of the dietary instructions?
Correct Answer: D
Rationale: A cheese omelet is gluten-free, suitable for celiac disease, unlike the other options containing wheat.