NCLEX-RN
NCLEX RN Questions Fundamentals Questions
Question 1 of 5
The nurse is preparing for the first interaction with a client recently admitted to the hospital. Which of the following would help establish trust during this encounter? Select all that apply.
Correct Answer: A,B,D,F
Rationale: Preparing the environment, knowing client details, demonstrating equipment, and addressing concerns build trust. Avoiding student disclosure is deceptive, and limiting talk time hinders rapport.
Question 2 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 3 of 5
The nurse is caring for a client who underwent moderate sedation for a closed shoulder reduction. The nurse reviews the client’s clinical data. Which post-procedure data requires immediate followup?

Correct Answer: C
Rationale: Respiratory depression is a critical risk post-moderate sedation, so abnormal respirations require immediate follow-up. Blood pressure, Glasgow Coma Scale, and temperature are important but secondary unless specific abnormalities are noted.
Question 4 of 5
The nurse is participating in a fall and injury reduction committee to reduce falls in the inpatient environment. Which risk factors in the inpatient environment can be modified through this committee? Select all that apply.
Correct Answer: A,B,C,D
Rationale: Lighting, staffing, communication, and assessments are modifiable environmental factors. Medication prescribing is a clinical decision.
Question 5 of 5
The nurse is admitting a client who has cryptococcosis pneumonia. When caring for this client, which of the following actions should the nurse take?
Correct Answer: A
Rationale: Cryptococcosis pneumonia requires standard precautions, including hand hygiene. Masks, disposable dishware, and negative airflow are not needed.