NCLEX-RN
Free NCLEX RN Exam Questions
Extract:
Question 1 of 5
Which behavior by a female client feeding her newborn demonstrates that she needs more teaching related to safety and infant feeding?
Correct Answer: C
Rationale: This practice is the proper use of the bulb syringe to clear the infant's airway in case of regurgitation. Placing the infant on either side or on the stomach prevents aspiration of regurgitated milk. 'Bottle propping' is an unsafe practice because it increases the likelihood of aspiration. This practice is one correct way of burping an infant.
Question 2 of 5
The nurse is caring for a client with a diagnosis of preterm labor. Which medication is most likely to be ordered?
Correct Answer: D
Rationale: Betamethasone promotes fetal lung maturity terbutaline and magnesium sulfate are tocolytics to halt preterm contractions and magnesium may also provide neuroprotection. All are commonly ordered in preterm labor.
Question 3 of 5
During a unit card game, a client with acute mania begins to sing loudly as she starts to undress. The nurse should:
Correct Answer: D
Rationale: Covering the client and escorting her to a private area maintains dignity and safety, de-escalating the situation caused by manic behavior.
Question 4 of 5
The client presents to the emergency room with a hyphema. Which action by the nurse would be appropriate?
Correct Answer: A
Rationale: A hyphema (blood in the anterior chamber of the eye) requires elevating the head to reduce intraocular pressure and applying ice to decrease swelling. The other actions are irrelevant to hyphema management.
Question 5 of 5
A client is admitted with symptoms of pseudomembranous colitis. Which finding is associated with Clostridium difficile?
Correct Answer: A
Rationale: Clostridium difficile causes pseudomembranous colitis, characterized by diarrhea with blood and mucus due to toxin-mediated inflammation of the colon.