NCLEX-RN
Free NCLEX RN Exam Practice Questions Questions
Question 1 of 5
The nurse is conducting walking rounds and observes the client (see figure). The nurse should do which of the following?
Correct Answer: C
Rationale: The nurse should fi rst determine why the client wants to sit up, and then, if needed delegate someone to assist the client. Loosening the restraints will not keep the client safe in bed. Raising theside rails and elevating the head of the bed do not address the client’s needs.
Question 2 of 5
When infusing total parenteral nutrition (TPN), the nurse should assess the client for which of the following complications?
Correct Answer: C,D
Rationale: TPN can cause hyperglycemia due to high glucose content and infection due to catheter use, both requiring vigilant monitoring.
Question 3 of 5
Which of the following responses would be most appropriate for the nurse when comforting a primiparous client whose critically ill neonate delivered at 25 weeks dies while the mother is present?
Correct Answer: C
Rationale: Allowing the mother to stay with her baby and express herself supports grieving and closure, which is most appropriate in this situation.
Question 4 of 5
The nurse has explained the reason that the primary health care provider has chosen laser surgery to treat a client's cervical cancer. Which statement by the client indicates an understanding of the explanation?
Correct Answer: D
Rationale: Laser therapy is performed in an outpatient setting and is used when all boundaries of the lesion are visible. Laser surgery is painless, and the client would not receive general anesthesia. Laser therapy does not prevent regrowth.
Question 5 of 5
The nurse caring for a client who recently received an epidural anesthesia for a vaginal delivery suspects the presence of a vaginal hematoma. Which finding would be the best indicator of the presence of this type of hematoma?
Correct Answer: A
Rationale: Changes in vital signs indicate hypovolemia in the anesthetized postpartum woman with a vaginal hematoma. Vaginal bruising may be present, but this may be a result of the delivery process and additionally is not the best indicator of the presence of a hematoma. Because the client received anesthesia, she would not feel pain or pressure.