NCLEX-RN
NCLEX RN Free Practice Questions Questions
Extract:
Question 1 of 5
The nurse is removing a peripherally inserted central catheter (PICC). The nurse should position the patient in which position?
Correct Answer: D
Rationale: Trendelenburg position (head down) is used when removing a PICC line to reduce the risk of air embolism by increasing venous pressure. Fowler’s, right, or left side-lying positions do not provide this protection.
Question 2 of 5
A client with a history of a burn injury is receiving Hydrotherapy. The nurse should:
Correct Answer: C
Rationale: Monitoring water temperature during hydrotherapy prevents further burn injury, ensuring it’s lukewarm. Hot water, petroleum products, and plastic wrap are contraindicated.
Question 3 of 5
The nurse has been caring for a 16-year-old female who recently experienced date rape. After having had crisis intervention and been hospitalized for 2 weeks, the nurse knows that the client is effectively coping with the rape when she tells the nurse:
Correct Answer: D
Rationale: The client has insight into the rape; she does not believe it was her fault and shows good judgment in deciding to continue with counseling after discharge.
Question 4 of 5
The client with chronic renal failure is prescribed aluminum hydroxide (Amphojel). The purpose of this medication is to:
Correct Answer: A
Rationale: Aluminum hydroxide binds dietary phosphate in the gut, reducing serum phosphate levels in chronic renal failure, where kidneys cannot excrete phosphate. It does not affect urine output, ulcers, or bowel elimination directly.
Question 5 of 5
The client has an order for Garamycin (gentamicin) to be administered. Which lab test should be done before beginning the medication?
Correct Answer: B
Rationale: Gentamicin, an aminoglycoside, is nephrotoxic. Serum creatinine is monitored before administration to assess baseline kidney function, as impaired renal function increases toxicity risk. Hematocrit, white cell count, and BUN are less specific for gentamicin.