NCLEX-RN
NCLEX RN Practice Test Questions
Extract:
Question 1 of 5
The nurse is caring for a client who suffers from post-traumatic stress disorder (PTSD) following the loss of her husband and children in an automobile accident. Which interventions by the nurse are appropriate for this client? Select all that apply.
Correct Answer: A,B,C,D
Rationale: Appropriate PTSD interventions include teaching coping (
A), relaxation techniques (
B), supportive listening (
C), and providing a safe environment (
D). Avoiding public interaction (E) may worsen isolation.
Question 2 of 5
While performing a neurological assessment on a client with a closed head injury, the nurse notes a positive Babinski reflex. The nurse should:
Correct Answer: D
Rationale: A positive Babinski reflex in an adult with a head injury suggests neurological damage, warranting immediate physician notification.
Question 3 of 5
Which of the following tasks would an RN NOT delegate to an LPN?
Correct Answer: B
Rationale: Assessment, such as evaluating ambulation ability, is outside the LPN’s scope and reserved for RNs. The other tasks are within the LPN’s scope of practice.
Question 4 of 5
A client has signs of increased intracranial pressure. Which one of the following is an early indicator of deterioration in the client's condition?
Correct Answer: D
Rationale: A decrease in level of consciousness is an early and sensitive indicator of increased intracranial pressure, reflecting cerebral compromise before other signs like pupil changes or vital sign alterations.
Question 5 of 5
A new nursing graduate indicates in charting entries that he is a licensed registered nurse, although he has not yet received the results of the licensing exam. The graduate's action can result in a charge of:
Correct Answer: A
Rationale: Falsely claiming RN licensure is fraud, a deliberate misrepresentation.