NCLEX-RN
Free NCLEX RN Practice Test Questions
Extract:
Question 1 of 5
The schizophrenic client has become disruptive and requires seclusion. Which staff member can institute seclusion?
Correct Answer: B
Rationale: An RN has the authority to initiate seclusion based on clinical judgment.
Question 2 of 5
A client receiving Vancocin (vancomycin) has a serum level of 20 mcg/mL. The nurse knows that the therapeutic range for vancomycin is:
Correct Answer: B
Rationale: The therapeutic range for vancomycin is 10-25 mcg/mL, ensuring efficacy while minimizing toxicity; a level of 20 mcg/mL is within this range.
Question 3 of 5
The nurse is preparing to discharge a client diagnosed with gout. Which statement by the client indicates understanding of dietary restrictions while managing gout?
Correct Answer: A
Rationale: Beer, anchovies, and liver are high in purines, which exacerbate gout. Other foods listed are not primary triggers.
Question 4 of 5
The nursing assistant finds a client on the floor. Once the client is safe, which of the following should the nurse do next?
Correct Answer: B
Rationale: Falls require documentation in the medical record and an incident report to track safety issues and ensure follow-up.
Question 5 of 5
An elderly adult has been admitted with a diagnosis of hypertension with a history of dementia. Which of the following nursing diagnoses has the highest priority for this client?
Correct Answer: D
Rationale: Dementia increases fall and injury risk due to impaired judgment and memory, making 'risk for injury' the priority.