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NCLEX RN Practice Test Questions

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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

While reading the progress notes on a client with cancer, the nurse notes a TNM classification of T1, N1, M0. What does this classification indicate?

Correct Answer: D

Rationale: T1 indicates a small tumor, N1 indicates regional lymph node involvement, and M0 indicates no distant metastasis. This matches choice D.

Question 3 of 5

A client with multiple sclerosis tires easily, so the nurse is instructing the client in energy-conservation techniques. Which of the following techniques may help the client conserve energy? Select all that apply.

Correct Answer: A,C,D,E

Rationale: Energy conservation for multiple sclerosis includes sitting for tasks (
A), resting regularly (
C), planning movements (
D), and monitoring fatigue (E). Items on the floor or high shelves (
B) increase effort, and pulling vs. pushing (F) is not standard.

Question 4 of 5

The nurse is precepting a student nurse on the medical-surgical unit. The student nurse is preparing to administer insulin. Which action by the student nurse calls for immediate intervention?

Correct Answer: B

Rationale: Regular insulin is the only type safe for IV administration; other insulins like NPH are not, requiring immediate intervention.

Question 5 of 5

A client is being assessed for neutropenia. The client's total white blood cell count is 5200 with 45% neutrophils and 5% bands. What is the absolute neutrophil count (ANC)? Record your answer using a whole number.

Correct Answer: 2600

Rationale: ANC = WBC X (Neutrophils% + Bands%) = 5200 X (0.45 + 0.05) = 5200 X 0.5 = 2600.

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