NCLEX-RN
NCLEX RN Practice Exam Questions
Extract:
Question 1 of 5
Which of the following nursing actions has the HIGHEST priority for a teenager admitted with burns to 50% of his body?
Correct Answer: C
Rationale: safety is a priority for the client who is at high risk for infection
Question 2 of 5
The nursing assistant is taking vitals for a client on mechanical ventilation. Which of the following findings should the nursing assistant report to the nurse immediately?
Correct Answer: D
Rationale: Fever (102.1°F) in a ventilated client suggests infection (e.g., ventilator-associated pneumonia), requiring immediate reporting.
Question 3 of 5
Which statement is true regarding balanced skeletal traction? Balanced skeletal traction:
Correct Answer: A
Rationale: Balanced skeletal traction commonly uses a Steinman pin to stabilize fractures.
Question 4 of 5
Which observation in the newborn of a diabetic mother would require immediate nursing intervention?
Correct Answer: C
Rationale: Jitteriness in a newborn of a diabetic mother may indicate hypoglycemia, which requires immediate nursing intervention to prevent complications.
Question 5 of 5
The nurse is working with another nurse and a patient care assistant. Which of the following clients should be assigned to the registered nurse?
Correct Answer: D
Rationale: A post-thoracotomy patient requires RN monitoring for respiratory complications.