NCLEX-RN
NCLEX RN Practice Questions
Extract:
Question 1 of 5
The nurse is preparing a five-year-old child for surgery. The nurse notes that the child’s parents are divorced and have joint legal custody. The informed consent for surgery has been signed by the mother. Which of the following actions by the nurse is BEST?
Correct Answer: D
Rationale: parent or legal guardian required to give informed consent prior to surgical procedure
Question 2 of 5
The client admitted 2 days earlier with a lung resection accidentally pulls out the chest tube. Which action by the nurse indicates understanding of the management of chest tubes?
Correct Answer: C
Rationale: Covering the insertion site with Vaseline gauze prevents air from entering the pleural space, which is the priority action for a dislodged chest tube.
Question 3 of 5
The physician is preparing to remove a central line. The nurse should tell the client to:
Correct Answer: C
Rationale: Holding the breath during central line removal prevents air from being drawn into the vein, reducing the risk of air embolus.
Question 4 of 5
A woman comes to a community health clinic and expresses concern she may have been exposed to HIV. The community nurse draws blood for an ELISA test, which comes back as positive. The nurse should
Correct Answer: B
Rationale: A positive ELISA requires confirmation with a Western blot test to diagnose HIV, ensuring accuracy and reducing false positives.
Question 5 of 5
A pregnant client at 36 weeks' gestation has partial placenta previa and has been on bedrest at home for the previous 4 weeks. The client has started to have occasional contractions and is beginning to experience increasing vaginal bleeding. What intervention does the nurse anticipate?
Correct Answer: D
Rationale: Increasing bleeding with placenta previa at 36 weeks requires cesarean delivery (
D) to prevent hemorrhage.
Tocolytics (
A), induction (
B), or transfusions (
C) are not primary interventions.