NCLEX-RN
NCLEX RN Practice Questions
Extract:
Question 1 of 5
The nurse is teaching basic infant care to a group of first-time parents. The nurse should explain that a sponge bath is recommended for the first 2 weeks of life because:
Correct Answer: B
Rationale: Sponge baths are recommended until the umbilical cord separates to prevent infection and promote healing of the umbilical stump.
Question 2 of 5
A client diagnosed with COPD is receiving theophylline. Morning laboratory values reveal a theophylline level of 38 mcg/mL. The most appropriate action by the nurse would be to:
Correct Answer: B
Rationale: A theophylline level of 38 mcg/mL is toxic (therapeutic range: 10-20 mcg/mL), requiring immediate physician notification to prevent complications like seizures.
Question 3 of 5
The nurse is monitoring the labs of a client admitted with viral hepatitis. Which of the following lab findings would the nurse expect for this client? Select all that apply.
Correct Answer: B, C, D
Rationale: Viral hepatitis typically causes increased AST, elevated ammonia, and low serum albumin due to liver damage, while ALT is usually increased, not decreased, and prothrombin time is prolonged.
Question 4 of 5
During the change of shift report, the nurse states that the client's last pulse strength was a 1+. The oncoming nurse recognizes that the client's pulse was:
Correct Answer: D
Rationale: A pulse strength of 1+ indicates a weak pulse, per standard pulse assessment scales.
Question 5 of 5
A 43-year-old client has developed progressive frontotemporal dementia and is exhibiting inappropriate and compulsive behaviors, difficulty with language, and impaired judgment. Which statement by the client's wife suggests that she has not accepted a permanent role change in their relationship?
Correct Answer: A
Rationale: Expecting the husband to manage finances (
A) indicates denial of his impaired judgment due to dementia, suggesting non-acceptance of a permanent role change. Other statements (B, C,
D) reflect frustration or realistic expectations.