NCLEX Questions, RN NCLEX Practice Test Questions, NCLEX-RN

Extract:

Question 1 of 5

The nurse is caring for a client with a head injury who has an intracranial pressure monitor in place. Assessment reveals an ICP reading of 66. What is the nurse's best action?

Correct Answer: A

Rationale: An ICP of 66 mmHg is dangerously high (normal <20 mmHg), requiring immediate physician notification for intervention. Recording only (
B), turning (
C), or supine positioning (
D) delays critical action.

Question 2 of 5

After the RN is finished the initial assessment of a newborn baby and after the initial bonding between the newborn and the mother has taken place in the delivery room, the RN will bring the newborn to the well-baby nursery. Before the newborn is taken from the delivery room and brought to the well-baby nursery, the RN makes sure that which of the following interventions was completed?

A. The physician verifies the exact time of birth. B. The nurse counts the instruments and sponges with the scrub nurse. C. The nurse instills prophylactic ointment in the conjunctival sacs of the newborn's eyes. D. The nurse makes sure the mother and her newborn have been tagged with identical bands.

Correct Answer: D

Rationale: Tagging the mother and infant with identical bands ensures proper identification, preventing mix-ups and ensuring safety.

Question 3 of 5

The home health nurse is visiting a client with Paget's disease. An important part of preventive care for the client with Paget's disease is:

A. Keeping the environment free of clutter B. Advising the client to see the dentist regularly C. Encouraging the client to take the influenza vaccine D. Telling the client to take a daily multivitamin

Correct Answer: A

Rationale: Paget's disease weakens bones, increasing fracture risk. A clutter-free environment prevents falls, a key preventive measure. Dental care, vaccines, and vitamins are less specific.

Question 4 of 5

The nurse is caring for a client with a history of heart failure. Which discharge instruction is most important?

A. Weigh yourself daily.' B. Limit exercise to 10 minutes daily.' C. Increase sodium intake.' D. Take over-the-counter pain relievers as needed.'

Correct Answer: A

Rationale: Daily weight monitoring detects fluid retention early in heart failure, allowing timely intervention. Exercise should be moderate, sodium restricted, and pain relievers used cautiously.

Question 5 of 5

As soon as a child has been diagnosed as 'hearing impaired,' special education should begin. Which of the following special education tasks is the most difficult for a severely hearing-impaired child?

A. Auditory training B. Speech C. Lip reading D. Signing

Correct Answer: B

Rationale: With the slight and mild hard of hearing, auditory training is beneficial. Speech is the most difficult task because it is learned by visual and auditory stimulation, imitation, and reinforcement. (C,
D) Lip reading and signing are aimed at establishing communicative skills, but they are learned more easily by visual stimulation.