NCLEX-RN
NCLEX RN Practice Questions
Extract:
Question 1 of 5
While caring for a client with hypertension, the nurse notes the following vital signs: BP of 140/20, pulse 120, respirations 36, temperature 100.8°F. The nurse's initial action should be to:
Correct Answer: B
Rationale: Rechecking vital signs ensures accuracy, as the low diastolic BP may be an error, and guides further action.
Question 2 of 5
The hospital conducts an information and education session on anthrax. The nurse learns the methods of anthrax transmission include which of the following? Select all that apply.
Correct Answer: A,C,E
Rationale: Anthrax is transmitted via cutaneous (skin contact), inhalation (spores), and gastrointestinal (contaminated food) routes. Ocular and fomite transmission are not primary modes.
Question 3 of 5
The nurse is caring for a client who has just been diagnosed with ovarian cancer. The nurse is using silence as an effective therapeutic response. How is silence an effective therapeutic response?
Correct Answer: C
Rationale: Silence gives the client space to process emotions and guide the conversation, enhancing therapeutic communication.
Question 4 of 5
The nurse is caring for the client receiving Amphotericin B. Which of the following indicates that the client has experienced toxicity to this drug?
Correct Answer: B
Rationale: Nausea is a common sign of amphotericin B toxicity, often accompanied by fever and chills.
Question 5 of 5
An elderly client with moderate Alzheimer's disease lives with her daughter and appears dirty and disheveled and has lost five pounds over the previous month. Which of the following does the nurse suspect?
Correct Answer: B
Rationale: The client's dirty, disheveled appearance and weight loss suggest caregiver neglect (
B), as the daughter may not be providing adequate care. Physical abuse (
A) would involve evidence of injury, self-neglect (
C) is unlikely given the client's Alzheimer's, and psychological abuse (
D) involves emotional harm, not physical neglect.