NCLEX-RN
NCLEX RN Practice Questions Questions
Extract:
Question 1 of 5
Which of the following is the primary focus of cognitive behavioral therapy (CBT)?
Correct Answer: D
Rationale: CBT focuses on identifying and correcting automatic thoughts (
D) to change behavior. Rewards (
A), underlying causes (
B), and social effects (
C) are secondary.
Question 2 of 5
The clinic record for a client reads: gravida 3, para 2. The admitting nurse is most correct to confirm which prenatal history?
Correct Answer: B
Rationale: Gravida 3, para 2 indicates three pregnancies and two births after 20 weeks’ gestation, regardless of outcome (live or stillbirth).
Question 3 of 5
A client has had a long leg cast removed after eight weeks. Which of the following actions is the correct method of cleansing the skin after cast removal?
Correct Answer: B
Rationale: Soaking in a tub and washing with a washcloth (
B) gently removes dead skin and debris without irritation. A bath brush (
A) or hot water (
D) may be too harsh, and enzyme wash (
C) is unnecessary.
Question 4 of 5
The nurse is preparing to administer regular insulin by continuous IV infusion to a client with diabetic ketoacidosis. The nurse should:
Correct Answer: B
Rationale: Flushing the IV tubing with insulin and discarding the first 50 mL prevents insulin binding to the tubing, ensuring accurate dosing.
Question 5 of 5
A nursing student is assigned to a client with an endotracheal tube on a ventilator. Upon entering the client's room the primary care nurse is alerted by observing which of the following?
Correct Answer: C
Rationale: Normal saline at the bedside may indicate improper suctioning practices, as it’s not recommended for routine endotracheal suctioning, posing a risk for infection.