NCLEX-RN
NCLEX RN Practice Tests Questions
Extract:
Question 1 of 5
The nurse recognizes all of the following as type IV hypersensitivity reactions EXCEPT
Correct Answer: D
Rationale: Type IV hypersensitivity is cell-mediated (e.g., contact dermatitis, Crohn’s, GVH
D). Penicillin allergy is typically type I (IgE-mediated).
Question 2 of 5
The nurse is assessing a client with suspected diverticulitis. Which of the following findings would the nurse expect?
Correct Answer: B
Rationale: fever and left lower quadrant pain are common in diverticulitis due to inflammation in the sigmoid colon
Question 3 of 5
A client with cancer received platelet infusions 24 hours ago. Which of the following assessment findings would indicate the most therapeutic effect from the transfusions?
Correct Answer: D
Rationale: Platelet infusions aim to improve clotting. Decreased oozing from an IV site indicates effective platelet function. The other findings are unrelated to platelets.
Question 4 of 5
A client requires insertion of a nasogastric tube. When preparing the client for the procedure, the nurse should place the client in which of the following positions?
Correct Answer: A
Rationale: High Fowler's position with the head tilted forward (
A) facilitates nasogastric tube insertion by aligning the esophagus and reducing the risk of aspiration. Tilting the head backward (B,
D) or using a neutral position in semi-Fowler's (
C) is less effective for this procedure.
Question 5 of 5
While terminating the therapeutic nurse-client relationship, which action should be avoided?
Correct Answer: A
Rationale: Raising a new issue at termination can disrupt closure and hinder the client’s ability to process the end of the relationship.