NCLEX Questions, NCLEX RN Practice Questions Free Questions,

Extract:

Question 1 of 5

The physician has ordered a 24-hour urine collection for a client. Which instruction should the nurse provide?

Correct Answer: A

Rationale: For a 24-hour urine collection, the first void is discarded, and all subsequent urine is collected for exactly 24 hours to ensure accurate measurement of analytes. A single container is used, refrigeration is advised, but separate voids are not needed.

Question 2 of 5

The nurse in the emergency room is caring for a client with multiple rib fractures and a pulmonary contusion. Assessment reveals a respiratory rate of 38, a heart rate of 136, and restlessness. Which associated assessment finding would require immediate intervention?

A. Occasional small amounts of hemoptysis B. Midline trachea with wheezing on auscultation C. Subcutaneous air and absent breath sounds D. Pain when breathing deeply, with rales in the upper lobes

Correct Answer: C

Rationale: Subcutaneous air and absent breath sounds suggest pneumothorax, requiring immediate intervention (e.g., chest tube). Hemoptysis (
A), wheezing (
B), and pain/rales (
D) are concerning but less urgent.

Question 3 of 5

The registered nurse is making shift assignments. Which client should be assigned to the licensed practical nurse (LPN)?

A. A client who is a diabetic with a foot ulcer B. A client with a deep vein thrombosis receiving intravenous heparin C. A client being weaned from a tracheostomy D. A post-operative cholecystectomy with a T-tube

Correct Answer: A

Rationale: A diabetic with a foot ulcer is stable and suitable for an LPN, who can perform wound care and monitoring. Heparin infusion (
B), tracheostomy weaning (
C), and T-tube management (
D) require RN-level skills due to complexity and risk.

Question 4 of 5

Nursing care for the substance abuse client experiencing alcohol withdrawal delirium includes:

A. Maintaining seizure precautions B. Restricting fluid intake C. Increasing sensory stimuli D. Applying ankle and wrist restraints

Correct Answer: A

Rationale: These clients are at high risk for seizures during the 1st week after cessation of alcohol intake. Fluid intake should be increased to prevent dehydration. Environmental stimuli should be decreased to prevent precipitation of seizures. Application of restraints may cause the client to increase his or her physical activity and may eventually lead to exhaustion.

Question 5 of 5

The nurse is teaching a client with a new diagnosis of hypertension about lifestyle modifications. Which recommendation is most appropriate?

A. Limit exercise to once a week. B. Reduce sodium intake. C. Increase caffeine consumption. D. Avoid stress management techniques.

Correct Answer: B

Rationale: Reducing sodium intake lowers blood pressure in hypertension by decreasing fluid retention. Exercise should be regular, caffeine avoided, and stress management encouraged.