NCLEX-RN
Best NCLEX RN Question Bank Questions
Extract:
Question 1 of 5
Which of the following types of restraints is best for the nurse to use for a child in the immediate postoperative period after cleft palate repair?
Correct Answer: B
Rationale: Elbow restraints are most appropriate post-cleft palate repair to prevent the child from touching or damaging the surgical site while allowing some mobility.
Question 2 of 5
During a home visit, the nurse is evaluating an infant for auditory ability. Which of the following is the expected response in an infant with normal hearing?
Correct Answer: A
Rationale: Infants with normal hearing typically pause or stop movements in response to sound, indicating auditory awareness.
Question 3 of 5
The mother of a 28-year-old client who is taking clozapine [Clozaril] states, 'Something is wrong. My son is drooling like a baby.' Which of the following responses by the nurse would be most helpful?
Correct Answer: B
Rationale: Excess salivation is a common side effect of clozapine. Providing a practical solution like a cup supports the client's comfort and addresses the mother's concern.
Question 4 of 5
The lack of necessary supplies and equipment to adequately and safely care for patients is an example of a (n):
Correct Answer: B
Rationale: The lack of necessary supplies and equipment is a system variance , as it reflects a failure in the healthcare system's resources, impacting safe care delivery.
Question 5 of 5
The nurse is assessing a client with suspected appendicitis. Which of the following findings supports this diagnosis?
Correct Answer: A
Rationale: Pain at McBurney's point (right lower quadrant) is a hallmark sign of appendicitis due to localized peritoneal irritation.