NCLEX RN Practice Questions with Answers
Question 1 of 5.
A client has undergone a vaginal hysterectomy. Which interventions should the nurse include in the client's nursing care plan to decrease the risk of deep vein thrombosis or thrombophlebitis? Select all that apply.
A. Use pneumatic compression boots.
B. Maintain bed rest for 24 to 48 hours.
C. Assist with range-of-motion leg exercises.
D. Elevate the knees with the knee gatch on the bed.
E. Remove antiembolism stockings twice daily for assessment.
Explanation: The client is at risk for deep vein thrombosis or thrombophlebitis after this surgery, as for any other major surgery. For this reason, the nurse implements measures that will prevent this complication. Ambulation, pneumatic compression boots, range-of-motion exercises, and antiembolism stockings are all helpful. The nurse should avoid elevating the knees using the knee gatch in the bed, which inhibits venous return and places the client more at risk for deep vein thrombosis or thrombophlebitis.
Question 2 of 5.
Conflicts, according to Lewin, include which types of conflict? Select all that apply.
A. Conceptualization conflicts
B. Avoidance - Avoidance conflicts
C. Approach - Approach conflicts
D. Resolvable conflicts
E. Unresolvable conflicts
F. Double Approach - Avoidance conflicts
G. Approach-Avoidance conflicts
Explanation: According to Lewin's conflict theory, the types of conflict include Avoidance-Avoidance , Approach-Approach , Double Approach-Avoidance (F), and Approach-Avoidance (G). Conceptualization, resolvable, and unresolvable conflicts are not part of Lewin's framework.
Question 3 of 5.
The 2nd priority needs according to the MAAUAR method of priority setting include which of the following?
A. Assessment
B. Movement
C. Understanding level
D. Risks
Explanation: The MAAUAR method prioritizes: Mental status, Acute pain, Acute eliminated needs, Urgent needs, Abnormal vital signs, Risks. The second priority is Acute pain, but among the options, Risks aligns as a high-priority need following initial physiological concerns.
Question 4 of 5.
Select the legal term that is accurately paired with its description.
A. Assault: Touching a person without their consent
B. Battery: Threatening to touch a person without their consent
C. Slander: False oral defamatory statements.
D. Slander: False written defamatory statements.
Explanation: Slander is correctly defined as false oral defamatory statements. Assault is threatening harm , battery is unauthorized touching , and libel is false written defamation .
Question 5 of 5.
Which of these clients is at greatest risk for falls?
A. A 77 year old female client in a client room that has low glare floors.
B. An 87 year old female client in a client room that has low glare floors.
C. A 27 year old sedated male client.
D. A 37 year old male client with impaired renal perfusion.
Explanation: An 87-year-old female is at the greatest risk for falls due to age-related factors like decreased mobility, balance issues, and potential comorbidities, compared to younger or less impaired clients.
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