NCLEX-RN
NCLEX RN Practice Test Questions
Extract:
Question 1 of 5
The nurse is caring for a client with marked clubbing of the fingers and toes. The nurse understands which to be true regarding clubbing? Select all that apply.
Correct Answer: A,C,E,F
Rationale: Clubbing is permanent, associated with sickle cell disease, right-sided heart failure, and congenital heart defects due to chronic hypoxia. Dialysis and acute oxygen deprivation are not typical causes.
Question 2 of 5
The nurse is preparing a 73-year-old client for cataract surgery on the left eye. Which statement by the client indicates a need for further teaching?
Correct Answer: C
Rationale: Stopping Coumadin without medical guidance is unsafe, as it may increase clotting risk, indicating a need for further teaching.
Question 3 of 5
The nurse is assessing a client who has a sacral pressure ulcer. The wound has partial thickness, loss of dermis, and a red-pink wound bed. No slough is present. How would the nurse chart this wound?
Correct Answer: B
Rationale: A partial-thickness ulcer with loss of dermis and a red-pink bed is Stage II. Stage I is non-blanchable redness, Stage III involves full-thickness loss, and Stage IV exposes muscle or bone.
Question 4 of 5
The nurse is teaching safe client handling techniques to a group of student nurses. Which action by a student nurse would require intervention?
Correct Answer: C
Rationale: Placing the bed supine is unsafe for moving a client up, as slight elevation (e.g., Trendelenburg) aids safety. Other actions are correct.
Question 5 of 5
A nurse from the dialysis unit floats to the med-surg floor. He is doing afternoon rounds and medication administration. He brings a client her oral medications, but the client states, 'What is this? Where is my yellow pill? This big white one is not mine.' The best action from the nurse is to
Correct Answer: A
Rationale: Verifying with the MAR and pharmacy ensures medication safety when a client questions a pill’s appearance, preventing potential errors.