NCLEX-RN
NCLEX RN Free Practice Questions Questions
Extract:
Question 1 of 5
Which guidelines would hamper staff learning and compliance?
Correct Answer: E, F, G
Rationale: Providing all information in one session (E) can overwhelm staff, reducing retention. Stating changes are mandated (F) may foster resentment, decreasing compliance. Sending a memo about errors (G) may seem punitive, discouraging engagement. In contrast, scientific information (
A), clarification (
B), acknowledging resistance (
C), and diagrams (
D) promote understanding and acceptance.
Question 2 of 5
The client is diagnosed with a pleural effusion. Which intervention should the nurse anticipate?
Correct Answer: B
Rationale: Thoracentesis is used to remove fluid from a pleural effusion, relieving respiratory distress. Chest tubes are for pneumothorax or persistent effusions, bronchoscopy is diagnostic, and nebulizers are irrelevant.
Question 3 of 5
A client has a history of alcoholism. He is currently diagnosed with cirrhosis of the liver. The nurse would expect him to be on which type of diet?
Correct Answer: B
Rationale: High carbohydrates provide high-caloric content to prevent tissue catabolism.
Question 4 of 5
The nurse is removing a peripherally inserted central catheter (PICC). The nurse should position the patient in which position?
Correct Answer: D
Rationale: Trendelenburg position (head down) is used when removing a PICC line to reduce the risk of air embolism by increasing venous pressure. Fowler’s, right, or left side-lying positions do not provide this protection.
Question 5 of 5
The nurse is preparing to administer a feeding via a nasogastric tube. The nurse would perform which of the following before initiating the feeding?
Correct Answer: A
Rationale: Verifying nasogastric tube placement by aspirating stomach contents (and checking pH) is critical to prevent aspiration. Left-lying position is incorrect, 50% dextrose is inappropriate, and microwaving can cause burns or nutrient degradation.