NCLEX-RN
NCLEX RN Practice Test Questions
Extract:
Question 1 of 5
The nurse is observing a graduate nurse as she assesses the central venous pressure. Which observation would indicate that the graduate needs further teaching?
Correct Answer: C
Rationale: The Valsalva maneuver falsely elevates CVP; normal breathing is required.
Question 2 of 5
A 24-year-old female client is scheduled for surgery in the morning. Which of the following is the primary responsibility of the nurse?
Correct Answer: B
Rationale: Obtaining the signed consent form is the nurse's primary responsibility to ensure informed consent before surgery.
Question 3 of 5
The nurse is caring for a 10-year-old boy with hemophilia. The nurse suspects the child has developed hemarthrosis when she observes
Correct Answer: D
Rationale: Hemarthrosis (joint bleeding) in hemophilia presents with redness, swelling, and warmth over the joint due to blood accumulation.
Question 4 of 5
The nurse is caring for a client with COPD. Which of the associated disorders has changes that are reversible?
Correct Answer: C
Rationale: Asthma is characterized by reversible airway obstruction, unlike bronchiectasis, emphysema, and chronic bronchitis, which involve permanent structural changes.
Question 5 of 5
During morning assessments, the nurse finds that a client's nephrostomy tube has been clamped. The nurse's first action should be to:
Correct Answer: C
Rationale: Unclamping the nephrostomy tube is the priority to restore urine flow and prevent obstruction or infection.