NCLEX-RN
NCLEX RN Practice Questions Questions
Extract:
Question 1 of 5
The nurse’s INITIAL priority when managing a physically assaultive client is to
Correct Answer: C
Rationale: most important priority in the nursing management of an assaultive client is to maintain milieu safety by restoring the client’s self-control; a quick assessment of situation, psychological intervention, chemical intervention, and possibly physical control are important when managing the physically assaultive client
Question 2 of 5
The nurse is caring for a 12-year-old client with appendicitis. The client's mother is a Jehovah's Witness and refuses to sign the blood permit. What nursing action is most appropriate?
Correct Answer: D
Rationale: Notifying the physician respects the mother's beliefs while ensuring the medical team addresses the refusal appropriately.
Question 3 of 5
An adolescent client is seen by the nurse at a school where a fatal shooting incident occurred on campus 3 months earlier. The nurse documents that the client is experiencing flashbacks, avoiding the location of the shooting, having angry outbursts, and experiencing a loss of interest in playing his favorite musical instrument. The nurse suspects the client is experiencing post-traumatic stress disorder. Which intervention would be the best for the nurse to implement?
Correct Answer: B
Rationale: Referring to the multidisciplinary crisis team ensures comprehensive, coordinated care for suspected PTSD, leveraging expertise beyond the nurse’s scope.
Question 4 of 5
The nurse’s INITIAL priority when managing a physically assaultive client is to
Correct Answer: C
Rationale: most important priority in the nursing management of an assaultive client is to maintain milieu safety by restoring the client’s self-control; a quick assessment of situation, psychological intervention, chemical intervention, and possibly physical control are important when managing the physically assaultive client
Question 5 of 5
A nurse graduated from nursing school 3 years ago. He worked at one hospital on the telemetry unit for 6 months. He then transferred to the cardiac care unit (CCU) at a teaching hospital, and has been working there for 2.5 years. According to the novice-expert model of nursing, he is considered
Correct Answer: C
Rationale: Per Benner’s model, a nurse with 2-3 years of focused experience (2.5 years in CCU) is competent, demonstrating efficiency and coordinated care.