NCLEX-RN
NCLEX Practice Test RN Questions
Extract:
Question 1 of 5
The nurse is performing discharge teaching on a client at high risk for the development of skin cancer. Which instruction should be included in the client teaching?
Correct Answer: D
Rationale: Wearing sunscreen protects against UV radiation, a key skin cancer risk factor. Regular checkups (
A) are less specific, sunbathing at peak hours (
B) increases risk, and routine mole removal (
C) is excessive.
Question 2 of 5
A client with an abdominal aortic aneurysm is admitted in preparation for surgery. Which finding should be reported to the doctor?
Correct Answer: A
Rationale: A WBC of 14,000 cu.mm indicates possible infection or inflammation, which is concerning pre-surgery and should be reported. Abdominal bruit and lower back pain are expected with an abdominal aortic aneurysm, and a platelet count of 175,000 is normal.
Question 3 of 5
A hyperactive client is experiencing flight of ideas. The most therapeutic activity for him would be:
Correct Answer: D
Rationale: This activity would allow the client to channel his energy in a positive way, suitable for his hyperactive state and limited attention span.
Question 4 of 5
The nurse is caring for a client with a suspected fractured hip. Which intervention is most appropriate?
Correct Answer: C
Rationale: Immobilizing the leg prevents further injury and displacement in a suspected hip fracture. Amb
Question 5 of 5
When a client is receiving vasoactive therapy IV, such as dopamine (Intropin), and extravasation occurs, the nurse should be prepared to administer which of the following medications directly into the site?
Correct Answer: A
Rationale: Phentolamine is given to counteract the-adrenergic effects that cause ischemia and necrosis of local tissue. Epinephrine is an endogenous catecholamine that produces vasoconstriction and increases heart rate and contractility. Phenylephrine causes constriction of arterioles of skin, mucous membranes, and viscera, which in turn can cause ischemia and necrosis. Sodium bicarbonate is an alkalinizing agent that is incompatible with dopamine.