RN Comprehensive Online Practice (NCLEX 6-10)

Nurses who will be taking the NCLEX exam should take our RN Comprehensive Online Practice quizzes. These free questions will help you enhance your critical thinking skills and make you more prepared for the actual exam. 
6. The nurse is preparing a plan of care for a client in skin traction. The nurse should monitor for which priority finding in this client?
a) Urinary incontinence
b) Signs of skin breakdown
c) The presence of bowel sounds
d) Signs of infection around the pin sites

7. RN Comprehensive Online Practice question about the home care nurse who is visiting a client who is in a body cast. While performing an assessment, the nurse plans to evaluate the psychosocial adjustment of the client to the cast. What is the most appropriate assessment for this client?

a) The need for sensory stimulation
b) The amount of home care support available
c) The ability to perform activities of daily living
d) The type of transportation available for follow-up care

8. What action should the nurse consider when counseling a client of the Amish tradition?

a) Speak only to the husband.
b) Use complex medical terminology.
c) Avoid using scientific or medical jargon.
d) Stand close to the client and speak loudly.

9. A client has refused to eat more than a few spoonfuls of breakfast. The health care provider has prescribed that tube feedings be initiated if the client fails to eat at least half of a meal because the client had been losing weight for the previous 2 months. The nurse enters the room, looks at the tray, and states, “If you don’t eat any more than that, I’m going to have to put a tube down your throat and get a feeding in that way.” The client begins crying and tries to eat more. Based on the nurse’s actions, the nurse may be accused of which violation?

a) Assault
b) Battery
c) Slander
d) Invasion of privacy

10. When making assignments to a team consisting of a registered nurse (RN), one licensed practical nurse (LPN), and two unlicensed assistive personnel (UAP), which is the best client for the LPN?

a) A client requiring frequent temperature checks
b) A client requiring assistance with ambulation every 4 hours
c) A client on a mechanical ventilator requiring frequent assessment and suctioning
d) A client with a spinal cord injury requiring urinary catheterization every 6 hours as prescribed

RN Comprehensive Online Practice
Answers and Rationale

6) B
- Rationale: Skin traction is achieved by Ace wraps, boots, and slings that apply a direct force on the client’s skin. Traction is maintained with 5 to 8 lb of weight, and this type of traction can cause skin breakdown. Urinary incontinence is not related to the use of skin traction. Although constipation can occur as a result of immobility and monitoring bowel sounds may be a component of the assessment, this intervention is not the priority assessment. There are no pin sites with skin traction.

- RN Comprehensive Online Practice Test-Taking Strategy: Note the strategic word priority. Eliminate option D first because there are no pin sites with skin traction. Visualizing the traction setup and knowledge of the complications associated with this type of traction will direct you to the correct option.

7) A
- Rationale: A psychosocial assessment of a client who is immobilized would most appropriately include the need for sensory stimulation. This assessment should also include such factors as body image, past and present coping skills, and coping methods used during the period of immobilization. Although home care support, the ability to perform activities of daily living, and transportation are components of an assessment, they are not as specifically related to psychosocial adjustment as is the need for sensory stimulation.

- Test-Taking Strategy: Focus on the strategic words most appropriate and note the subject, psychosocial adjustment. Option C can be eliminated first because it relates to physiological integrity rather than psychosocial integrity. Next, eliminate options B and D because they are most closely related to physical supports, rather than psychosocial needs of the client.

8) C
- Rationale: Complex scientific or medical terminology should be avoided when counseling an Amish client (or any client). When counseling a female Amish client, most often the husband and wife will want to discuss health care options together. Standing close and speaking loudly is inappropriate in most counseling situations.

- RN Comprehensive Online Practice Test-Taking Strategy: Use knowledge of the Amish society and therapeutic communication techniques to answer this question. Options B and D can be eliminated first because option D is inappropriate and option B is not a therapeutic intervention. In addition, note that options B and C are opposite, which may indicate that one of these options is correct. Option A can be eliminated because of Amish cultural habits.

9) A
- Rationale: Assault occurs when a person puts another person in fear of harmful or offensive contact and the victim fears and believes that harm will result as a result of the threat. In this situation, the nurse could be accused of the tort of assault. Battery is the intentional touching of another’s body without the person’s consent. Slander is verbal communication that is false and harms the reputation of another. Invasion of privacy is committed when the nurse intrudes into the client’s personal affairs or violates confidentiality.

- Test-Taking Strategy: Note the subject, legal implications for nursing care. Focusing on the words used by the nurse and noting that the nurse threatens the client will direct you to the correct option.

10) D
- Rationale: When delegating nursing assignments, the nurse needs to consider the skills and educational level of the nursing staff. Frequent temperature checks and ambulation can most appropriately be provided by the UAP, considering the clients identified in each option. The client on the mechanical ventilator requiring frequent assessment and suctioning should most appropriately be cared for by the RN. The LPN is skilled in urinary catheterization, so the client in option D would be assigned to this staff member.

- Test-Taking Strategy: Focus on the subject, the principles related to delegations and assignments, and consider the education and job position as described by the nurse practice act and employee guidelines. Note the word assessment in option C. This should alert you that this client should be assigned to the registered nurse. Options A and B can be eliminated because a UAP can perform these tasks.

After you reviewed your answers through its rationale, you can also go back to the first page to start from the beginning:

RN Comprehensive Online Practice (NCLEX 1-5)

Or proceed to the next set of questions:

RN Comprehensive Online Practice (NCLEX 11-15)