NCLEX-RN
NCLEX RN Practice Questions Questions
Extract:
Question 1 of 5
When caring for a ventilator-dependent client who is receiving tube feedings, the nurse can help prevent aspiration of gastric secretions by:
Correct Answer: B
Rationale: Elevating the head of the bed 30-45° reduces the risk of aspiration in ventilator-dependent clients.
Question 2 of 5
An elderly client is returned to her room after an open reduction and internal fixation of the left femoral head after a fracture. It is MOST important for the nursing care plan to include that the client
Correct Answer: D
Rationale: prevents respiratory complications due to immobility following surgery
Question 3 of 5
A young male client who has recently become a quadriplegic makes a sexually inappropriate comment to the nurse. Which of the following statements by the nurse would be most appropriate?
Correct Answer: A
Rationale: Addressing the inappropriate comment directly sets clear boundaries while maintaining professionalism.
Question 4 of 5
A 40-year-old male client has been diagnosed with Huntington disease and his spouse asks the nurse if their 3-year-old son should be tested to determine if the son inherited the genetic disorder. Which of the following is the most appropriate response?
Correct Answer: B
Rationale: Referring to a genetic counselor (
B) ensures informed decision-making about testing a child for Huntington's. Other responses (A, C,
D) are directive or dismissive.
Question 5 of 5
A home health nurse has four clients assigned for morning visits. The nurse should give priority to visiting the client with:
Correct Answer: B
Rationale: Frothy sputum in congestive heart failure suggests pulmonary edema, a life-threatening condition requiring immediate attention.