NCLEX-RN
Practice NCLEX RN Questions Questions
Extract:
Question 1 of 5
The nurse is inserting an intravenous line into the right arm and has identified a potential insertion site. Place the steps (indicated in Roman numerals) of venipuncture in the proper sequential order.
Correct Answer: C,A,B,D
Rationale: Venipuncture sequence: Apply tourniquet (III), palpate vein (I), cleanse skin (II), perform venipuncture (IV).
Question 2 of 5
During which stage of injury repair does the wound show evidence of erythema and edema, and phagocytosis begins?
Correct Answer: B
Rationale: The inflammation stage (
B) involves erythema, edema, and phagocytosis as the body responds to injury. Other stages (A, C,
D) have different processes.
Question 3 of 5
The nurse is teaching a client with a new diagnosis of type 2 diabetes mellitus about foot care. Which of the following instructions should the nurse include?
Correct Answer: B
Rationale: daily foot inspection is essential to detect early signs of injury or infection in diabetes
Question 4 of 5
The child with seizure disorder is being treated with phenytoin (Dilantin). Which of the following statements by the patient's mother indicates to the nurse that the patient is experiencing a side effect of Dilantin therapy?
Correct Answer: C
Rationale: Gingival hyperplasia is a common side effect of phenytoin therapy.
Question 5 of 5
A client with alcoholism has been instructed to increase his intake of thiamine. The nurse knows the client understands the instructions when he selects which food?
Correct Answer: D
Rationale: Sliced pork is a rich source of thiamine (vitamin B1), which is critical for preventing Wernicke's encephalopathy in clients with alcoholism.