NCLEX-RN
RN NCLEX Next Gen Questions Questions
Question 1 of 5
Which nursing action is most essential for the hospitalized client with a new tracheostomy?
Correct Answer: D
Rationale: Maintaining a patent airway is the most critical action for a client with a new tracheostomy to ensure adequate oxygenation. Other actions are important but secondary to airway patency.
Question 2 of 5
A client receives morphine for postoperative pain. Which of the following assessments should the nurse include in the client's plan of care?
Correct Answer: C
Rationale: Morphine can cause sedation and altered mental status, requiring regular assessment to monitor for adverse effects.
Question 3 of 5
Which couple is at greatest risk for domestic violence?
Correct Answer: C
Rationale: A history of childhood physical abuse is a significant risk factor for perpetrating domestic violence, as it may lead to learned behaviors or unresolved trauma. Pregnancy can also increase stress and vulnerability, further elevating the risk.
Question 4 of 5
The current focus of performance improvement activities is to facilitate and address:
Correct Answer: C
Rationale: Performance improvement activities focus on achieving optimal client outcomes by improving the quality and safety of care delivery.
Question 5 of 5
A client with a history of type 2 diabetes is prescribed metformin (Glucophage). The nurse should instruct the client to:
Correct Answer: A, B
Rationale: Metformin should be taken with meals to reduce gastrointestinal upset, and alcohol should be avoided to prevent lactic acidosis.