NCLEX-RN
NCLEX RN Questions Fundamentals Questions
Question 1 of 5
The nurse is caring for a client with a recently fractured left tibia who is grimacing and slightly diaphoretic. The nurse should initially
Correct Answer: C
Rationale: Grimacing and diaphoresis suggest pain, which should be assessed first to guide interventions. Range of motion may worsen pain, temperature is secondary, and medication administration requires prior assessment.
Question 2 of 5
The nurse has obtained a client's blood pressure. The nurse recognizes that which of the following factors may increase a client's blood pressure?
Correct Answer: A
Rationale: Nicotine, a vasoconstrictor, increases blood pressure. Heat exhaustion, deep breathing, and hypothyroidism typically lower or do not affect BP acutely.
Question 3 of 5
The nurse is observing a client ambulate with a walker. It would require follow-up by the nurse if the client
Correct Answer: C
Rationale: Tilting the walker forward to stand is unsafe, risking falls. Advancing 6-10 inches, 15-30 degree elbow flexion, and proper stepping sequence are correct.
Question 4 of 5
The nursing instructor is supervising a nursing student feeding a client at risk for aspiration. Which action by the nursing student requires follow-up by the nursing instructor? Select all that apply.
Correct Answer: A
Rationale: Tilting the head backward increases aspiration risk. Chin-down position, rest periods, upright positioning, and 45-degree elevation are appropriate.
Question 5 of 5
The nurse is caring for a client who is describing pain on their hand as 'throbbing and sharp.' Which type of pain is the client experiencing based on this sensory description?
Correct Answer: A
Rationale: Throbbing and sharp pain describe somatic pain, arising from skin or musculoskeletal tissue. Visceral pain is dull, ischemic pain is aching, and neuropathic pain is burning or tingling.