NCLEX-RN
NCLEX RN Practice Test Free Questions
Extract:
Question 1 of 5
The physician has prescribed a Becloforte (beclomethasone) inhaler two puffs twice a day for a client with asthma. The nurse should tell the client to report:
Correct Answer: B
Rationale: A sore throat may indicate oral candidiasis, a side effect of inhaled corticosteroids like beclomethasone.
Question 2 of 5
The nurse is caring for a client admitted to labor and delivery. The nurse is aware that the infant is in distress if she notes:
Correct Answer: B
Rationale: Absent variability on the fetal monitor indicates fetal distress, suggesting compromised oxygenation.
Question 3 of 5
The nurse is preparing to deliver an infusion of vancomycin through a client's peripherally inserted central catheter (PICC). Shortly after the infusion begins the IV pumps beeps, indicating a blockage. How should the nurse proceed? Select all that apply.
Correct Answer: B, D, F
Rationale: Notifying the PICC nurse, repositioning the arm, and gently flushing with a 10 mL syringe (saline or tPA as ordered) are appropriate. Aggressive flushing or small syringes risk damage, and a peripheral IV is unnecessary.
Question 4 of 5
The nurse is administering an intermittent tube feeding to a client through a nasogastric tube. Which of the following positions is optimal for tube feedings?
Correct Answer: A
Rationale: Elevating the head of the bed to 45° (
A) during tube feedings reduces the risk of aspiration and promotes digestion. A 90° elevation (
B) is excessive, 30° (
C) is insufficient, and a flat position (
D) increases aspiration risk.
Question 5 of 5
The nurse is doing bowel and bladder retraining for the client with paraplegia. Which of the following is not a factor for the nurse to consider?
Correct Answer: D
Rationale: Sexual function is not directly related to bowel and bladder retraining, unlike diet, mobility, and fluid intake.