NCLEX-RN
NCLEX RN Practice Questions Questions
Extract:
Question 1 of 5
The nurse is teaching the client with polycythemia vera about prevention of complications of the disease. Which of the following statements by the client indicates a need for further teaching?
Correct Answer: A
Rationale: Limiting fluid intake to 500 mL per day is incorrect, as adequate hydration is essential in polycythemia vera to reduce blood viscosity and prevent thrombosis.
Question 2 of 5
A child with scoliosis has a spica cast applied. Which action specific to the spica cast should be taken?
Correct Answer: D
Rationale: Checking for swelling is critical to detect complications like compartment syndrome in a spica cast.
Question 3 of 5
The nurse employed in the emergency room is responsible for triage of four clients injured in a motor vehicle accident. Which of the following clients should receive priority in care?
Correct Answer: B
Rationale: Sternal bruises suggest potential chest trauma, requiring priority.
Question 4 of 5
A client who served three tours of duty in Afghanistan has been diagnosed with posttraumatic stress disorder (PTSD). Which of the following signs and symptoms does the nurse expect the client to exhibit? Select all that apply.
Correct Answer: A,B,C,E
Rationale: PTSD symptoms include recurring flashbacks (
A), detachment (
B), anger (
C), and nightmares (E). Hyperacute memory (
D) is not typical, and excessive sleeping (F) is less common than insomnia in PTSD.
Question 5 of 5
The nurse is assessing the deep tendon reflexes of a client with preeclampsia. Which method is used to elicit the biceps reflex?
Correct Answer: A
Rationale: The biceps reflex is elicited by placing the thumb on the biceps tendon in the antecubital space and tapping it with a reflex hammer.