NCLEX-RN
NCLEX RN Exam Preview Answers Questions
Question 1 of 5
When reviewing the demographics of ethnic groups in the United States, which group does the nurse recall as the largest and fastest-growing population?
Correct Answer: B
Rationale: The correct answer is 'Hispanic.' Hispanics are the largest and fastest-growing population in the United States. While African Americans/Blacks, Asians, American Indians, and other groups are significant, Hispanics currently represent the largest demographic group. African American/Black, Asian, and American Indian populations are substantial but not as large or fast-growing as the Hispanic population.
Therefore, Hispanic is the most appropriate choice in this scenario.
Question 2 of 5
The nurse is preparing to assess a patient’s abdomen by palpation. How should the nurse proceed?
Correct Answer: D
Rationale: The correct approach is to begin the assessment with light palpation to detect surface characteristics and to acclimate the patient to touch. This allows the nurse to first assess surface features before proceeding to deeper palpation. Starting with light palpation also helps the patient become more comfortable with being touched, creating a smoother examination experience. Palpating tender areas quickly, as suggested in choice B, can increase patient discomfort. Deep palpation, as in choice C, is typically performed after light palpation to avoid discomfort and ensure proper assessment. Avoiding palpation of tender areas first, as in choice A, helps prevent causing unnecessary pain and should be done towards the end of the assessment.
Question 3 of 5
When examining an infant, which area should the nurse examine first?
Correct Answer: D
Rationale: When examining an infant, the nurse should start by examining the least-distressing areas first before moving on to more invasive areas. The abdomen is typically the least distressing area to examine, so it should be assessed first. Examining the eye, ear, nose, and throat are considered more invasive and should be saved for last.
Therefore, the correct choice is to examine the abdomen first to ensure a comfortable and less distressing examination process for the infant.
Choices A, B, and C (Ear, Nose, Throat) are more invasive areas and should be examined after the abdomen.
Question 4 of 5
After receiving change-of-shift report, which patient should the nurse assess first?
Correct Answer: B
Rationale: The correct answer is the patient with possible lung cancer who has just returned after bronchoscopy. After bronchoscopy, the patient may have decreased cough and gag reflexes, necessitating immediate assessment for airway patency to prevent potential complications. The other patients do not exhibit urgent clinical manifestations or have undergone recent procedures that require immediate attention.
Therefore, they can be assessed after ensuring the safety and stability of the patient who has just returned after bronchoscopy.
Question 5 of 5
Which action is appropriate for the nurse to delegate to unlicensed assistive personnel (UAP)?
Correct Answer: B
Rationale: Labeling specimens obtained during a percutaneous lung biopsy is a task that can be appropriately delegated to unlicensed assistive personnel (UAP) as it does not require nursing judgment. UAP can perform this task safely under the supervision of a nurse. Listening to a patient's lung sounds for wheezes or rhonchi, instructing a patient about how to use home spirometry testing, and measuring induration at the site of a patient's intradermal skin test all require nursing judgment and interpretation of findings. These tasks should be performed by licensed nursing personnel to ensure accurate assessment and appropriate intervention.