NCLEX-RN
Saunders NCLEX RN Practice Questions Questions
Question 1 of 5
At the beginning of her shift in a long-term care facility, which of the following clients should a nurse check on first?
Correct Answer: C
Rationale: The correct answer is C: An 82-year-old woman who needs IV antibiotics. Checking on this client first is crucial because IV antibiotics are time-sensitive and require proper administration to ensure the effectiveness of treatment. Delaying or missing a dose can have serious consequences for the client's health. The other choices, while important, can be prioritized after attending to the client needing IV antibiotics. A: The 91-year-old man needing help eating breakfast can wait a bit longer. B: The 86-year-old man who has been incontinent can be addressed after the client needing IV antibiotics. D: The 75-year-old man recovering from an injury and needing an ice pack can also be attended to after the client requiring IV antibiotics.
Question 2 of 5
Research participants are involved in a trial that incidentally separates them into two groups. One group receives an intervention, while the other group does not. Both groups are compared for outcomes. What type of research method is this?
Correct Answer: C
Rationale: The correct answer is C: Randomized controlled trial (RCT). In an RCT, participants are randomly assigned to either the intervention group or the control group, ensuring that both groups are similar at the start of the trial. This minimizes bias and allows for comparing the outcomes of the intervention group with the control group. This design helps establish a cause-effect relationship between the intervention and the outcomes.
Choice A (Experimental design) is not specific enough as there are various types of experimental designs.
Choice B (Double-blind experiment) refers to a study where neither the participants nor the researchers know who is receiving the intervention, which is not the case here.
Choice D (Repeated measures design) involves measuring the same participants at different time points, not separating them into different groups.
Question 3 of 5
Which of the following is the most appropriate example of anticipatory guidance for a 16-year-old who has been hospitalized for an ankle fracture?
Correct Answer: B
Rationale: The correct answer is B: Driving and staying safe. At 16, the teenager is likely preparing to start driving, so guidance on driving safety is crucial. An ankle fracture may impact their ability to drive safely. Other choices lack immediate relevance to the current situation. A: Puberty changes are important but may not be directly related to the hospitalization. C: Smoking hazards, while important, may not be a pressing concern during hospitalization. D: Social media influences, while relevant, are not as critical as driving safety in this scenario.
Question 4 of 5
A client is admitted with the diagnosis of pulmonary embolism. While taking a history, the client tells the nurse he was admitted for the same thing twice before, the last time just 3 months ago. The nurse would anticipate the healthcare provider ordering:
Correct Answer: B
Rationale: The correct answer is B: Vena caval interruption. In this scenario, the client has a history of recurrent pulmonary embolism, indicating a high risk for further episodes. Vena caval interruption, such as with an inferior vena cava filter, is a preventive measure to reduce the risk of pulmonary embolism recurrence by trapping blood clots before they reach the pulmonary circulation. This intervention is indicated when anticoagulation alone is not sufficient to prevent further emboli. Pulmonary embolectomy (
A) is a surgical procedure to remove a clot from the pulmonary artery and is typically reserved for massive, life-threatening embolisms. Increasing coumadin therapy (
C) to achieve a higher INR may increase bleeding risk without necessarily preventing future emboli. Thrombolytic therapy (
D) is reserved for acute, large emboli causing hemodynamic instability.
Question 5 of 5
Which of the following may be a cultural barrier that impacts a healthcare provider's ability to provide care or education to the client?
Correct Answer: C
Rationale: The correct answer is C because using pantomime to explain a procedure to a deaf client is a cultural barrier. Deaf individuals may use sign language or have different communication preferences, so relying solely on pantomime may not effectively convey the necessary information. This can lead to misunderstandings or incomplete communication, impacting the quality of care provided.
Choice A is incorrect as offering materials at an 8th-grade reading level is a best practice in health literacy and not a cultural barrier.
Choice B may reflect cultural preferences but does not necessarily impede the provider's ability to provide care.
Choice D involves a client's spiritual beliefs but does not directly hinder the provider's ability to provide care.