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NCLEX RN Practice Exam Questions

Extract:


Question 1 of 5

The nurse is planning room assignments for the day. Which client should be assigned to a private room if only one is available?

Correct Answer: A

Rationale: Cushing's disease causes immunosuppression, increasing infection risk, warranting a private room.

Question 2 of 5

The nurse is caring for an elderly female client in an extended care facility who has dry age-related macular degeneration (AMD). Which nursing intervention would be the most appropriate?

Correct Answer: B

Rationale: Standing in front of the client maximizes her ability to see the nurse, as dry AMD affects central vision, making clear visual communication essential.

Question 3 of 5

A 15-year-old client was involved in an auto accident and requires emergency surgery to control bleeding, but both parents are out of town and unable to sign the consent form. Which of the following is the most appropriate action?

Correct Answer: D

Rationale: In an emergency where a minor requires life-saving surgery and parents are unavailable, the physician can proceed without consent (
D) to save the client's life. Client consent (
A), telephone consent (
B), or email consent (
C) are not appropriate in this urgent situation.

Question 4 of 5

A child with cystic fibrosis is being treated with inhalation therapy with Pulmozyme (dornase alfa). A side effect of the medication is:

Correct Answer: C

Rationale: Pulmozyme, used to thin mucus in cystic fibrosis, can cause sore throat as a side effect due to irritation from inhalation.

Question 5 of 5

The nurse is working in the ED when a client in labor comes in and says that she does not have health insurance, but wants to know if a doctor will see her. The nurse understands that the client's right to emergency services, regardless of ability to pay, is provided by which piece of legislation?

Correct Answer: D

Rationale: The Emergency Medical Treatment and Active Labor Act (EMTAL
A) ensures that emergency services are provided regardless of ability to pay, not the options listed.

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The nurse is working with another nurse and a patient care assistant. Which of the following clients should be assigned to the registered nurse?
The client returns to the recovery room following repair of an abdominal aneurysm. Which finding would require further investigation?
The nurse is teaching a client with an orthotopic bladder replacement. The nurse should tell the client to:

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