Complete Question Bank

NCLEX RN· Full Length · NCLEX Practice Test RN

Full Question & Rationale Repository

Showing all 10 practice questions with expert explanatory rationales.

Question 1 of 10

A client with COPD is in respiratory failure. Which of the following results would be the most sensitive indicator that the client requires a mechanical ventilator?

A. PCO₂ 58
B. SaO₂ 90
C. PH 7.23
D. HCO3 30

Expert Explanatory Rationale

Correct Answer: PH 7.23

Question 2 of 10

The pediatric nurse charts that the parents of a 4-year-old child are very anxious. Which observation would indicate to the nurse unhealthy coping by these parents:

A. Discussing their needs with the nursing staff
B. Discussing their needs with other family members
C. Seeking support from their minister
D. Refusing to participate in the child's care

Expert Explanatory Rationale

Correct Answer: Refusing to participate in the child's care

Question 3 of 10

A child sustains a supracondylar fracture of the femur. When assessing for vascular injury, the nurse should be alert for the signs of ischemia, which include:

A. Bleeding, bruising, and hemorrhage
B. Increase in serum levels of creatinine, alkaline phosphatase, and aspartate transaminase
C. Pain, pallor, pulselessness, paresthesia, and paralysis
D. Generalized swelling, pain, and diminished functional use with muscle rigidity and crepitus

Expert Explanatory Rationale

Correct Answer: Pain, pallor, pulselessness, paresthesia, and paralysis

Question 4 of 10

A client with a history of a deep vein thrombosis is receiving Warfarin (Coumadin). The nurse should teach the client to avoid:

A. Green leafy vegetables
B. Dairy products
C. Citrus fruits
D. High-fat foods

Expert Explanatory Rationale

Correct Answer: Green leafy vegetables

Question 5 of 10

The client is admitted with a diagnosis of acute respiratory distress syndrome (ARDS). Which intervention should the nurse anticipate?

A. Mechanical ventilation
B. Nebulizer treatments
C. Chest physiotherapy
D. Antibiotic therapy

Expert Explanatory Rationale

Correct Answer: Mechanical ventilation

Question 6 of 10

The nurse is caring for a client with a spinal cord injury at C5. Which complication is the client at greatest risk for?

A. Respiratory depression
B. Autonomic dysreflexia
C. Pressure ulcers
D. Deep vein thrombosis

Expert Explanatory Rationale

Correct Answer: Respiratory depression

Question 7 of 10

The nurse is caring for a client with a diagnosis of postpartum depression. Which symptom is most likely to be present?

A. Persistent sadness
B. Fever and chills
C. Uterine tenderness
D. Foul-smelling lochia

Expert Explanatory Rationale

Correct Answer: Persistent sadness

Question 8 of 10

The parents of a 2-year-old child are ready to begin toilet training activities with him. His parents feel he is ready to train because he is now 2 years old. What would the nurse identify as readiness in this child?

A. Patience by the child when wearing soiled diapers
B. Communicating the urge to defecate or urinate
C. The child awakening wet from his naps
D. The age at which the child's siblings were trained

Expert Explanatory Rationale

Correct Answer: Communicating the urge to defecate or urinate

Question 9 of 10

The client returns to the unit from surgery with a blood pressure of 90/50, pulse 132, respirations 30. Which action by the nurse should receive priority?

A. Continue to monitor the vital signs
B. Contact the physician
C. Ask the client how he feels
D. Ask the LPN to continue the post-op care

Expert Explanatory Rationale

Correct Answer: Contact the physician

Question 10 of 10

A client with inflammatory bowel disease (IBD) requires an ileostomy. The nurse would instruct the client to do which of the following measures as an essential part of caring for the stoma?

A. Perform massage of the stoma three times a day.
B. Include high-fiber foods in the diet, especially nuts.
C. Limit fluid intake to prevent loose stools.
D. Cleanse the peristomal skin meticulously.

Expert Explanatory Rationale

Correct Answer: Cleanse the peristomal skin meticulously.