NCLEX-RN
NCLEX RN Practice Exam Questions
Extract:
Question 1 of 5
Which of the following findings are indicative of peripheral arterial insufficiency? Select all that apply.
Correct Answer: A,D,F
Rationale: Peripheral arterial insufficiency causes throbbing pain with exercise (
A), shiny skin with hair loss (
D), and pale color on elevation with redness on dependency (F). Aching pain with dependency (
B) and brown pigment (E) suggest venous insufficiency, and capillary refill <2 seconds (
C) is normal.
Question 2 of 5
A nurse has delegated care of a client in wrist restraints to a nursing assistant. The nursing assistant should check the skin circulation under the restraints at least
Correct Answer: C
Rationale: Restraints require circulation checks every 1-2 hours to prevent skin breakdown or neurovascular injury. Hourly checks (
C) balance safety and practicality.
Question 3 of 5
A client is being treated for cancer with linear acceleration radiation. The physician has marked the radiation site with a blue marking pen. The nurse should:
Correct Answer: D
Rationale: Soap or lotion can remove radiation site markings or irritate the skin, so they should be avoided to ensure accurate treatment.
Question 4 of 5
The nurse is preparing a client for cervical uterine radiation implant insertion. Which will be included in the teaching plan?
Correct Answer: B
Rationale: A Foley catheter is inserted during cervical radiation implants to keep the bladder empty, reducing radiation exposure to nearby organs. The other options are incorrect or irrelevant.
Question 5 of 5
A client tells the nurse that she takes St. John's wort (hypericum perforatum) three times a day for mild depression. The nurse should tell the client that:
Correct Answer: C
Rationale: St. John's wort can cause photosensitivity, increasing the risk of skin reactions, so sunscreen use is recommended, not avoided.