NCLEX-RN
NCLEX RN Practice Test Questions
Extract:
Question 1 of 5
The RN is making assignments for the morning staff. Which client should be cared for by the RN?
Correct Answer: D
Rationale: Hemoptysis indicates potential severe bleeding, requiring the RN's advanced assessment and intervention skills.
Question 2 of 5
Following application of a right BK prosthesis for an amputated limb, the client returns for evaluation, and the nurse notes that the client has an unstable gait and the right hip and knee are showing signs of slight flexion contractures. The client admits to infrequent use of the prosthesis. Which of the following interventions are most indicated? Select all that apply.
Correct Answer: A,B,D
Rationale: Sympathetic encouragement (
A), retraining (
B), and counseling (
D) address infrequent use and contractures constructively. Chastising (
C) is non-therapeutic and demotivating.
Question 3 of 5
A client in Dunlop traction experiences numbness of the thumb and index finger and cannot move the thumb to touch the tips of the other fingers. The capillary refill time is four seconds. Which of the following actions is indicated?
Correct Answer: A
Rationale: Numbness, impaired thumb movement, and delayed capillary refill suggest compression from a tight elastic bandage. Removing and reapplying it loosely (
A) addresses this. Adjusting weights (B,
D) or countertraction (
C) does not address the symptoms.
Question 4 of 5
The school nurse recognizes that meningitis can be caused by which of the following? Select all that apply.
Correct Answer: A,B,C,D,E
Rationale: Meningitis can be caused by bacteria, viruses, fungi, parasites, or noninfectious factors (e.g., cancer, trauma).
Question 5 of 5
The nurse caring for clients with coronary artery disease recognizes which one of the following as a modifiable risk factor?
Correct Answer: C
Rationale: An elevated LDL level (180 mg/dL) is modifiable through diet, exercise, and medication, unlike family history, race, or gender, which are non-modifiable.