NCLEX-RN
NCLEX RN Practice Questions with Answers Questions
Extract:
Question 1 of 5
Which of these clients is at greatest risk for falls?
Correct Answer: B
Rationale: An 87-year-old female is at the greatest risk for falls due to age-related factors like decreased mobility, balance issues, and potential comorbidities, compared to younger or less impaired clients.
Question 2 of 5
The nurse should turn the client on bed rest every 2 hours to prevent the development of pressure ulcers. In addition, the nurse should:
Correct Answer: C
Rationale: Monitoring serum albumin assesses nutritional status, which is critical for skin integrity and preventing pressure ulcers. Walking is contraindicated for bed rest, catheters increase infection risk, and white blood cell count is less relevant.
Question 3 of 5
Assessment of a primigravid client in active labor reveals a cervix dilated to 5 cm and completely effaced, with the fetus at -1 station. The client has indicated that she wants a 'natural childbirth' with no analgesia or anesthesia. The client's husband has been present since their arrival at the birthing unit. The physician enters the room and tells the client that it is time for an epidural anesthetic. Which of the following would be the nurse's best action at this time?
Correct Answer: B
Rationale: Advocating for the client's stated preference for natural childbirth ensures autonomy and respects her birth plan.
Question 4 of 5
The nurse should instruct a woman taking folic acid supplements for folic acid-deficiency anemia that:
Correct Answer: D
Rationale: Pregnancy, lactation, and oral contraceptive use increase folic acid requirements due to increased metabolic demands.
Question 5 of 5
The nurse is teaching a client about self-administration of insulin. Which site should the nurse recommend for fastest absorption?
Correct Answer: A
Rationale: The abdomen has the fastest insulin absorption rate due to its rich blood supply and minimal muscle interference.