NCLEX-RN
NCLEX RN Exam Prep Questions
Question 1 of 5
Your elderly patient has a temperature of 98.5 degrees. Is there anything else that a nurse should do, in addition to documenting this temperature?
Correct Answer: A
Rationale: No, there is nothing else that a nurse should do. A temperature of 98.5 degrees for an elderly patient falls within normal limits. Other choices are incorrect because the temperature is not hyperthermic (abnormally high) or hypothermic (abnormally low), making choices B, C, and D inaccurate responses in this scenario.
Question 2 of 5
A client's intake and output are being calculated by a nurse. During the last shift, the client consumed ½ cup of gelatin, a skinless chicken breast, 1 cup of green beans, and 300 cc of water. The client also urinated 250 cc and had 2 bowel movements. What is this client's intake and output for this shift?
Correct Answer: A
Rationale: The correct answer is 420 cc intake and 250 cc output for this shift.
To calculate the intake, ½ cup of gelatin (approximately 120 cc) and 300 cc of water should be added together, resulting in 420 cc. Food intake like the chicken breast and green beans is not converted to cc's but may be documented for hospital protocol. Output includes urine (250 cc in this case) and other forms like vomit, diarrhea, or gastric suction. Bowel movements are not converted to cc's, but the nurse may need to document the number of stools passed.
Choices B, C, and D are incorrect because they do not accurately reflect the intake and output calculations based on the information provided.
Question 3 of 5
A client is undergoing range of motion exercises, and the nurse moves the leg in a pattern of circumduction. Which movement is the nurse performing?
Correct Answer: C
Rationale: Circumduction involves moving a limb in a circular pattern. In this scenario, the nurse is performing circumduction by moving the leg in a circular motion, engaging the muscles of the gluteus maximus and gluteus medius.
Choice A, 'Bending the leg at the knee,' is incorrect as it describes flexion and extension movements.
Choice B, 'Turning the foot inward and outward,' refers to inversion and eversion movements of the foot, not circumduction.
Choice D, 'Moving the leg forward and up,' describes flexion and abduction movements, not circumduction.
Question 4 of 5
Which of the following is an example of physical abuse?
Correct Answer: A
Rationale: The correct answer is 'A slap to the person's hand.' Slapping, hitting, and punching are clear examples of physical abuse. Physical abuse involves actions that can cause physical harm or injury to a person.
Choice B, 'Threatening the person,' falls under the category of emotional or psychological abuse, where threats can cause fear and emotional distress but do not involve physical harm.
Choice C, 'Ignoring and isolating a person,' is a form of neglect or emotional abuse, not physical abuse.
Choice D, 'Leaving a patient soiled for hours,' is an example of neglect or lack of proper care, which is also not classified as physical abuse.
Question 5 of 5
A client is diagnosed with ariboflavinosis. Which of the following foods should the nurse serve this client?
Correct Answer: B
Rationale: Ariboflavinosis is a vitamin B-2 deficiency. Symptoms may include cracks around the mouth, inflammation of the tongue, or light sensitivity. Foods rich in vitamin B-2, like milk, liver, green vegetables, or whole grains, are recommended. Citrus fruits (choice
A) are good sources of vitamin C, not B-2. Fish (choice
C) is a source of protein and omega-3 fatty acids but not a significant source of vitamin B-2. Potatoes (choice
D) are a source of carbohydrates but do not provide high levels of vitamin B-2.