NCLEX-RN
Practice NCLEX RN Test Questions
Extract:
Question 1 of 5
The nurse is caring for a client with a cerebrovascular accident (CVA) who is complaining of being nauseated and is requesting an emesis basin. Which action would the nurse take first?
Correct Answer: C
Rationale: Turning the client to one side prevents aspiration, a risk in CVA patients with nausea due to impaired swallowing or consciousness. This is the priority before other actions.
Question 2 of 5
The nurse is caring for a client with end-stage kidney disease. The client says, 'I have decided that I don't want any more dialysis or treatments. This is just prolonging the inevitable.' The nurse responds, 'You have every right to do so. I will notify the nephrologist of your wishes.' Which ethical principle is being demonstrated by the nurse?
Correct Answer: C
Rationale: Respecting the client’s decision to refuse treatment demonstrates autonomy, prioritizing their right to self-determination.
Question 3 of 5
A nursing instructor demonstrates to several students how to wrap an amputated limb in a bandage using a figure eight technique. Which of the following correctly states the benefits of this technique? Select all that apply.
Correct Answer: B,C
Rationale: The figure-eight technique reduces swelling (
B) by promoting venous return and minimizes pain (
C) by stabilizing the limb. It does not prevent clots (
A) or air exposure (
D).
Question 4 of 5
An infant with a ventricular septal defect is discharged with a prescription for lanoxin elixir 0.01 mg PO q 12 hrs. The bottle is labeled 0.10 mg per 1/2 tsp. The nurse should instruct the mother to:
Correct Answer: B
Rationale: The calibrated dropper ensures accurate dosing of Lanoxin (digoxin), critical for preventing toxicity in infants.
Question 5 of 5
A 68-year-old client states he decided not to take the herpes zoster (shingles) immunization because his friend had the immunization and still developed shingles. Which of the following information should the nurse include when discussing this issue with the client? Select all that apply.
Correct Answer: B,C,D
Rationale: The shingles vaccine reduces severity (
B), postherpetic syndrome risk (
C), and shingles incidence by about 50% (
D). It doesn't eliminate risk (
A), and dismissing friends' advice (E) is inappropriate.