NCLEX-RN
NCLEX RN Practice Test Questions
Extract:
Question 1 of 5
What airborne precautions should the nurse anticipate when a client with measles is admitted to the hospital? Select all that apply.
Correct Answer: C,D
Rationale: Measles requires airborne precautions, including a negative pressure room (
C) and an N-95 respirator (
D). Surgical masks (
A) are insufficient, and dedicated entrances (E) are not standard. Client masking during transport (
B) is recommended but not always mandatory.
Question 2 of 5
The nurse is teaching a client with chronic obstructive pulmonary disease (COPD) about energy conservation techniques. Which of the following statements by the client indicates understanding?
Correct Answer: B
Rationale: pacing activities and resting as needed conserves energy and reduces fatigue in COPD
Question 3 of 5
While performing a neurological assessment on a client with a closed head injury, the nurse notes a positive Babinski reflex. The nurse should:
Correct Answer: D
Rationale: A positive Babinski reflex in an adult with a head injury suggests neurological damage, warranting immediate physician notification.
Question 4 of 5
The nurse is observing a graduate nurse as she assesses the central venous pressure. Which observation would indicate that the graduate needs further teaching?
Correct Answer: C
Rationale: The Valsalva maneuver falsely elevates CVP; normal breathing is required.
Question 5 of 5
The nurse is preparing to discharge a client following a trabeculoplasty for the treatment of glaucoma. The nurse should instruct the client to:
Correct Answer: D
Rationale: Eye protection prevents injury and supports healing post-trabeculoplasty.