NCLEX-RN
RN NCLEX Next Gen Questions Questions
Extract:
Question 1 of 5
When educating unlicensed assistants on how to prevent the development of pressure ulcers, the nurse should emphasize that most tissue injuries related to shearing can be prevented by implementing which of the following activities?
Correct Answer: C
Rationale: Proper positioning and moving techniques prevent shearing injuries, which occur when skin slides over a surface, damaging tissue. Turning schedules and clean skin help but are less specific to shearing.
Question 2 of 5
When assessing a 2-month-old infant, the nurse feels a 'click' when abducting the infant's left hip. Which of the following should the nurse do next?
Correct Answer: B
Rationale: A 'click' during hip abduction suggests developmental dysplasia of the hip, so checking femur lengths helps confirm asymmetry for further evaluation.
Question 3 of 5
Which of the following is appropriate when developing a plan of care for promoting the development of a preschooler? Select all that apply.
Correct Answer: A,B,C
Rationale: Anticipatory guidance, understanding behavior, and identifying deviations support preschooler development. Predicting future development is not feasible, and daycare is not universally required.
Question 4 of 5
A client with a history of chronic obstructive pulmonary disease (COPD) is prescribed budesonide (Pulmicort). The nurse should instruct the client to:
Correct Answer: A
Rationale: Rinsing the mouth after budesonide inhalation prevents oral thrush.
Question 5 of 5
A postpartum client is experiencing heavy lochia 3 days after delivery. Which action should the nurse take first?
Correct Answer: A
Rationale: Heavy lochia may indicate uterine atony. Massaging the fundus is the first step to promote uterine contraction and reduce bleeding before escalating to other interventions.