NCLEX-RN
NCLEX RN Practice Test Questions
Extract:
Question 1 of 5
When the nurse checks the fundus of a client on the first postpartum day, she notes that the fundus is firm, is at the level of the umbilicus, and is displaced to the right. The next action the nurse should take is to:
Correct Answer: A
Rationale: A fundus displaced to the right on the first postpartum day is often due to bladder distention, which should be assessed next.
Question 2 of 5
The nurse is caring for a client with a diagnosis of hepatitis who is experiencing pruritis. Which would be the most appropriate nursing intervention?
Correct Answer: B
Rationale: Adding baby oil to bath water moisturizes the skin, reducing pruritis in hepatitis clients, unlike warm showers or powder, which may worsen dryness.
Question 3 of 5
The nurse recognizes that which of the following would be most appropriate to wear when providing direct care to a client with a cough?
Correct Answer: A
Rationale: A mask is the most appropriate PPE to prevent transmission of respiratory infections from a client with a cough, as it protects against droplet spread.
Question 4 of 5
A client has accidentally splashed a toxic (although not caustic) substance in his right eye and the nurse must flush the eye. Which of the following steps are correct? Select all that apply.
Correct Answer: B,C,D,E
Rationale: Correct eye irrigation includes syringe 0.5 inch above eye (
B), flushing 5 minutes (
C), holding eyelid open (
D), and using a basin (E). Head down (
A) is incorrect; tilt toward affected side.
Question 5 of 5
The nurse is suspected of charting medication administration that he did not give. After talking to the nurse, the charge nurse should:
Correct Answer: B
Rationale: Suspected falsification of records warrants a formal reprimand and investigation, but immediate termination or legal action requires further evidence.