Fundamental of Nursing NCLEX RN Practice Questions
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Question 1 of 5.
The nurse is planning a staff development conference about restraints. Which of the following information should the nurse include? Select all that apply.
A. Mittens that are untethered are not considered a restraint.
B. Elbow restraints may allow a client to remove abdominal or urinary medical devices.
C. Belt restraints should be applied over a client's clothing garments.
D. The client should be positioned prone while soft-wrist restraints are applied.
E. Continuous verbal aggression with staff is an indication to apply restraints.
Explanation: Untethered mittens are not restraints, and belt restraints should be applied over clothing to prevent skin irritation. Elbow restraints restrict arm movement, prone positioning is unsafe, and verbal aggression alone does not justify restraints.
Question 2 of 5.
The nurse recognizes which of the following would contraindicate the use of electronic blood pressure monitoring?
A. Coarse tremors
B. Intrajugular central vascular access device
C. Wearing a wrist watch
D. Cardiac pacemaker
Explanation: Coarse tremors can interfere with accurate electronic blood pressure readings. Intrajugular devices, wrist watches, and pacemakers do not typically contraindicate use.
Question 3 of 5.
The nurse observes a client perform isometric exercises. It would indicate effective understanding if the client
A. Exercises both extremities simultaneously.
B. Knows their heart rate should be monitored while exercising.
C. Practices forced resistance against stable objects.
D. Swings their limbs through the full range of motion.
Explanation: Isometric exercises involve static muscle contraction against resistance, like pushing against a stable object. Simultaneous exercise, heart rate monitoring, and full range of motion are not specific to isometrics.
Question 4 of 5.
The nurse is teaching a client about ambulating with a cane. It would indicate effective teaching if the nurse observes the client
A. Position the cane on their weaker side.
B. Advances their weaker leg first, then the cane.
C. Measures the height of the cane from their wrist crease.
D. Advances the cane 12-16 inches with each step.
Explanation: Advancing the cane 12-16 inches ensures stability. The cane is held on the stronger side, stronger leg moves first, and height is measured to the greater trochanter.
Question 5 of 5.
The nurse is teaching a client about a vegetarian diet. Which of the following foods should the nurse recommend for this diet? Select all that apply.
A. Legumes
B. Almond butter
C. Grilled chicken
D. Apricots
E. Baked fish
F. Seafood salad
Explanation: Vegetarian diets exclude meat, so legumes, almond butter, and apricots are suitable. Chicken, fish, and seafood are not vegetarian.