NCLEX-RN
Fundamental of Nursing NCLEX RN Practice Questions Questions
Question 1 of 5
The nurse is supervising a graduate nurse completing an incident report regarding a client who fell. Which of the following actions by the graduate nurse requires follow-up?
Correct Answer: C
Rationale: Documenting the incident report in the nursing note violates confidentiality; incident reports are separate from patient records.
Question 2 of 5
The nurse is preparing to restrain a client using soft-limb restraints. When initially restraining the client, it would be a priority for the nurse to
Correct Answer: D
Rationale: Informing the client of the restraint’s reason promotes understanding and compliance, a priority for safety and ethics. Other actions are secondary.
Question 3 of 5
The nurse is teaching a continuing education course on communicable diseases. Which of the following statements should the nurse make about diphtheria? Select all that apply.
Correct Answer: A,B,C,D
Rationale: Diphtheria is caused by Corynebacterium diphtheriae, vaccinated via DTaP at two months, cutaneous form spreads by contact, and pharyngeal diphtheria requires airborne precautions. It is bacterial, not viral.
Question 4 of 5
The nurse is caring for a client eight hours following a total thyroidectomy. The nurse plans on obtaining an order to assess the client's serum
Correct Answer: B
Rationale:
Total thyroidectomy can disrupt parathyroid function, leading to hypocalcemia due to decreased parathyroid hormone. Monitoring serum calcium levels is critical to detect and manage this complication. Potassium, sodium, and glucose levels are less directly affected by thyroidectomy.
Question 5 of 5
The nurse supervises a student assisting a client with left-sided weakness in performing activities of daily living. Which action by the student nurse requires the nurse to intervene? The student nurse
Correct Answer: C
Rationale: Wheelchair on the affected side hinders transfer; it should be on the unaffected side. Dressing the weaker arm first, velcro shoes, and stronger hand use are correct.