NCLEX-RN
Best NCLEX RN Question Bank Questions
Extract:
Question 1 of 5
The nurse is preparing a client for a thoracentesis. How should the nurse position the client for the procedure?
Correct Answer: D
Rationale: Sitting forward with arms supported allows optimal access to the pleural space and ensures client comfort during thoracentesis.
Question 2 of 5
You are the nursing supervisor in a long term care facility. One of the major considerations that you apply into your practice is strict infection control prevention measures because you are knowledgeable about the fact that the normal aging process is associated with the deterioration of the body's normal defenses. Which theory of aging supports your belief that strict infection control prevention measures are necessary?
Correct Answer: B
Rationale: The Immunological Theory of Aging posits that the immune system weakens with age, increasing susceptibility to infections. This supports the need for strict infection control measures in a long-term care facility.
Question 3 of 5
The nurse is monitoring a client with a diagnosis of chronic kidney disease (CKD). Which assessment finding should the nurse report to the primary health care provider?
Correct Answer: D
Rationale: CKD can cause damage to many body systems. Hematological manifestations that can occur with this disease include anemia and bleeding. Abnormal bleeding (petechiae; purpura; bruising; bleeding from the mucous membranes, nose, or gums; vaginal bleeding; or intestinal bleeding) should be reported to the primary health care provider because it can be life-threatening. Pallor, fatigue, and lethargy are clinical manifestations associated with anemia.
Question 4 of 5
A Jewish client requests an orthodox diet while she is hospitalized. The nurse should refer this request to the:
Correct Answer: A
Rationale: The dietitian is responsible for addressing dietary requests, including religious preferences like an orthodox Jewish diet, to ensure nutritional needs are met. The physician, case manager, or rabbi may not specialize in dietary planning.
Question 5 of 5
The nurse is assessing a neonate at 5 minutes after birth. The nurse records the Apgar score based on the findings in the chart below. The nurse compares these findings to the Apgar score obtained at birth, as determined by the findings in the chart below. What should the nurse do next?
Correct Answer: B
Rationale: Without specific Apgar score data, the standard action is to continue assessing the neonate, as Apgar scores at 5 minutes guide ongoing monitoring unless critical findings are present.