NCLEX-RN
RN NCLEX Practice Questions Questions
Extract:
Question 1 of 5
The nurse is caring for a client with cerebral palsy. The nurse should provide frequent rest periods because:
Correct Answer: A
Rationale: Rest reduces spasticity and involuntary movements in cerebral palsy.
Question 2 of 5
The nurse is doing hourly rounds when he finds a 73-year-old female client unconscious on the floor next to the bed. An incident report must be filled out. What is the best statement for the nurse to write on the incident report?
Correct Answer: B
Rationale: The incident report should state objective findings: 'Client was found unresponsive on floor next to the bed.' Speculative statements (slipped, attempted to ambulate) are inappropriate.
Question 3 of 5
The nurse has been teaching the role of diet in regulating blood pressure to a client with hypertension. Which meal selection indicates the client understands his new diet?
Correct Answer: C
Rationale: Oatmeal, apple juice, and dry toast are low in sodium and saturated fat, aligning with a DASH diet for hypertension management.
Question 4 of 5
The nurse is caring for an obstetrical client in early labor. After the rupture of membranes, the nurse should give priority to:
Correct Answer: B
Rationale: Assessing fetal heart tones is critical after rupture of membranes to detect fetal distress, such as cord compression.
Question 5 of 5
The nurse caring for a client with a closed head injury obtains an intracranial pressure (ICP) reading of 17 mmHg. The nurse recognizes that:
Correct Answer: A
Rationale: An ICP of 17 mmHg is elevated (normal is 7-15 mmHg), indicating increased intracranial pressure, which requires immediate notification of the physician.