NCLEX-RN
NCLEX RN Practice Questions
Extract:
Question 1 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 2 of 5
The nurse is caring for a 4-year-old with cerebral palsy. Which nursing intervention will help ready the child for rehabilitative services?
Correct Answer: D
Rationale: Video games can improve hand-eye coordination and muscle control, aiding in rehabilitation for a child with cerebral palsy.
Question 3 of 5
A client with an abdominal cholecystectomy returns from surgery with a Jackson-Pratt drain. The chief purpose of the Jackson-Pratt drain is to:
Correct Answer: C
Rationale: A Jackson-Pratt drain removes fluid from the surgical site, preventing seroma or hematoma formation.
Question 4 of 5
A client with rheumatoid arthritis is receiving injections of Myochrysine (gold sodium thiomalate). Before administering the client's medication, the nurse should:
Correct Answer: A
Rationale: Checking lab work is essential to monitor for toxicity, such as renal or hematologic effects, from gold therapy.
Question 5 of 5
The nurse recognizes which of the following as a dual diagnosis?
Correct Answer: C
Rationale: Dual diagnosis refers to a mental health disorder and a substance use disorder. Bipolar disorder and alcoholism fit this definition.