NCLEX-RN
NCLEX RN Practice Exam Questions
Extract:
Question 1 of 5
When determining whether or not a client is a candidate for restraints, which of the following would be considered an appropriate reason for a restraint?
Correct Answer: A
Rationale: Restraints are justified for current dangerous behavior (
A) posing immediate risk to self or others. History of falls (
B), past violence (
C), or non-cooperation (
D) do not warrant restraints.
Question 2 of 5
The nurse is providing discharge teaching to a client newly diagnosed with heart failure. Which statement by the client indicates an understanding of the side effects of furosemide (Lasix)?
Correct Answer: A
Rationale: Furosemide can cause potassium loss; eating potassium-rich foods like bananas, dates, or peaches shows understanding of managing this side effect.
Question 3 of 5
A homeless client has been admitted to the hospital for observation, and he does not speak any English. The nurse does not know any of the client's medical history, but he is grimacing and looks to be in pain. The nurse should
Correct Answer: B
Rationale: An interpreter ensures accurate communication for assessing pain and history, respecting patient needs and safety.
Question 4 of 5
The nurse is the first person to arrive at the scene of a motor vehicle accident. When rendering aid to the victim, the nurse should give priority to:
Correct Answer: A
Rationale: Establishing a patent airway is the top priority in trauma care to ensure oxygenation and prevent hypoxia.
Question 5 of 5
The nurse caring for a client with chest tubes notes that the Pleuravac's collection chambers are full. The nurse should:
Correct Answer: D
Rationale: When the Pleuravac collection chambers are full, a new unit is needed to continue effective drainage and maintain the closed system.