NCLEX-RN
NCLEX RN Practice Exam Questions
Extract:
Question 1 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 2 of 5
A nurse assessing a client charts his blood pressure as 134/86. The pulse pressure would be
Correct Answer: A
Rationale: Pulse pressure is calculated as systolic BP minus diastolic BP: 134 - 86 = 48 mmHg.
Question 3 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 4 of 5
A 25-year-old male is brought to the emergency room with a piece of metal in his eye. The first action the nurse should take is:
Correct Answer: C
Rationale: Covering both eyes prevents eye movement, reducing further damage.
Question 5 of 5
The client is being evaluated for possible acute leukemia. Which inquiry by the nurse is most important?
Correct Answer: C
Rationale: Unexplained weight loss is a common symptom of leukemia due to increased metabolic demand and systemic effects of the disease.