NCLEX-RN
NCLEX RN Practice Questions PDF Questions
Extract:
Question 1 of 5
The nurse is caring for a client with a wound that presents with full-thickness tissue loss and eschar covering the wound bed. The nurse would record this wound as which stage?
Correct Answer: E
Rationale: A wound with eschar covering the bed is unstageable because the depth cannot be assessed until the eschar is removed.
Question 2 of 5
A client has a rate-responsive permanent pacemaker in his upper chest. The nurse understands rate-responsive to mean which of the following?
Correct Answer: D
Rationale: A rate-responsive pacemaker increases the pacing rate when sensors detect increased activity (
D), mimicking normal heart rate response. Other options (A, B,
C) describe different pacemaker functions.
Question 3 of 5
A client is receiving end-of-life care and tells the nurse that he has not always lived the way he should have or treated his children well. Which of the following responses is the most appropriate?
Correct Answer: B
Rationale: Reflecting that the client has regrets (
B) is empathetic and opens further discussion without judgment. Asking for details (
A), dismissing concerns (
C), or suggesting forgiveness (
D) may not be appropriate.
Question 4 of 5
A client is being discharged on Coumadin after hospitalization for a deep vein thrombosis. The nurse recognizes that which food would be restricted while the client is on this medication?
Correct Answer: A
Rationale: Lettuce, especially leafy greens, is high in vitamin K, which can antagonize Coumadin's anticoagulant effect, requiring dietary restriction or monitoring.
Question 5 of 5
A client with a missed abortion at 29 weeks gestation is admitted to the hospital. The client will most likely be treated with:
Correct Answer: C
Rationale: Dinoprostone is used to induce uterine contractions and facilitate expulsion in a missed abortion.