NCLEX-RN
NCLEX RN Practice Test Free Questions
Extract:
Question 1 of 5
The nurse is developing a plan for bowel and bladder retraining for a client with paraplegia. The primary goal of a bowel and bladder retraining program is:
Correct Answer: C
Rationale: The primary goal is to prevent complications like infections or skin breakdown by establishing effective bowel and bladder management.
Question 2 of 5
If a client has had repair of a right fractured hip and has an overhead trapeze on the bed to assist with movement, which of the following instructions should the client receive about use of the assistive device? Select all that apply.
Correct Answer: A,C
Rationale: Using both hands on the trapeze (
A) and flexing the left leg (
C) assist safe movement post-right hip repair. Using one hand (
B) or keeping the leg extended (
D) is less effective.
Question 3 of 5
A preterm infant with sepsis is receiving Gentamycin (garamycin). Which physiological alteration places the preterm infant at increased risk for toxicity related to aminoglycoside therapy?
Correct Answer: D
Rationale: The immature renal system in preterm infants reduces the ability to excrete aminoglycosides like Gentamycin, increasing the risk of toxicity.
Question 4 of 5
The blood alcohol concentration of a client admitted following a motor vehicle accident is 460 mg/dL. The nurse should give priority to monitoring the client for:
Correct Answer: B
Rationale: A blood alcohol concentration of 460 mg/dL (0.46%) is life-threatening, with respiratory depression being the priority due to its potential to cause death.
Question 5 of 5
The client is admitted for an open reduction internal fixation of a fractured hip. Immediately following surgery, the nurse should give priority to assessing the:
Correct Answer: B
Rationale: Pain assessment is a priority post-surgery to manage discomfort and detect complications.