NCLEX-RN
NCLEX RN Practice Exam Questions
Extract:
Question 1 of 5
The nurse is the first person to arrive at the scene of a motor vehicle accident. When rendering aid to the victim, the nurse should give priority to:
Correct Answer: A
Rationale: Establishing a patent airway is the top priority in trauma care to ensure oxygenation and prevent hypoxia.
Question 2 of 5
The nurse is teaching a client with a new diagnosis of atrial fibrillation about warfarin (Coumadin) therapy. Which of the following statements by the client indicates a need for further teaching?
Correct Answer: D
Rationale: warfarin should not be stopped without medical advice, as it increases the risk of clotting
Question 3 of 5
Which type of endotracheal tube is recommended by the Centers for Disease Control (CDC) for reducing the risk of ventilator-associated pneumonia?
Correct Answer: B
Rationale: CASS (continuous aspiration of subglottic secretions) tubes reduce ventilator-associated pneumonia by removing secretions.
Question 4 of 5
The nurse is teaching a client with an orthotopic bladder replacement. The nurse should tell the client to:
Correct Answer: D
Rationale: A well-fitting drainage bag is essential for managing an orthotopic bladder replacement.
Question 5 of 5
The nurse is reflecting on the client-nurse relationship. Which statement is correct regarding the orientation (introductory) phase of the relationship?
Correct Answer: A
Rationale: The orientation phase focuses on establishing trust and identifying the client’s strengths and limitations to guide care.