NCLEX-RN Daily Question
Past questions
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Question 1 · Basic Care and ComfortA nurse is performing passive range-of-motion exercises on the right arm of an older adult client who had a stroke and has flaccid paralysis. The nurse moves the arm through full flexion and extension three times.
Which finding indicates that the passive range-of-motion exercises are being performed effectively?
- A. The joint is moved only to the point of resistance without causing pain
- B. The nurse applies firm pressure to stretch the joint beyond its current limit
- C. The client reports mild discomfort that the nurse interprets as expected
- D. The exercises are completed rapidly to finish all joints within 5 minutes
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A. The joint is moved only to the point of resistance without causing painEffective passive range-of-motion stops at the point of resistance and does not cause pain. This protects the joint and soft tissues while maintaining mobility.
A 76-year-old client with a recent stroke has dysphagia confirmed by swallow study. The client is ordered a pureed diet with nectar-thick liquids and is sitting upright in a chair. The nurse observes the client coughing after taking a sip of water from a regular cup.
Which problem is the highest priority to address?
- A. Imbalanced nutrition related to pureed diet texture
- B. Risk for aspiration related to impaired swallowing
- C. Impaired verbal communication related to stroke
- D. Activity intolerance related to recent stroke
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B. Risk for aspiration related to impaired swallowingCoughing after thin liquids indicates aspiration risk, which is the priority safety issue under the ABC framework.
A client admitted with acute mania is pacing, talking rapidly, and easily distracted. The client has not slept in 48 hours.
Which environmental modification is most appropriate?
- A. Place the client in a quiet, low-stimulus private room
- B. Encourage the client to join group activities to increase social interaction
- C. Provide bright lighting and background music to match the client's energy
- D. Allow unlimited visitors to keep the client occupied
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A. Place the client in a quiet, low-stimulus private roomA quiet, low-stimulus environment reduces overstimulation and supports rest for a client in acute mania.
A client receiving end-of-life comfort care has family members at the bedside. The client appears restless. The nurse has adjusted positioning and provided a prescribed analgesic.
Which outcome indicates that comfort care and family presence are effective?
- A. The family is asked to leave so the client can rest without stimulation
- B. The client remains restless and the family expresses distress about not knowing how to help
- C. Vital signs are forced into normal ranges with additional medications
- D. The client is more settled and the family feels supported
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D. The client is more settled and the family feels supportedA more settled appearance and family members who feel supported while staying present indicate that both the client’s comfort and the family’s needs are being met.
A client on a behavioral health unit repeatedly asks different staff members for special privileges and becomes angry when limits are set.
Which outcome indicates that limit-setting is effective?
- A. The client continues to seek exceptions but from fewer staff members
- B. Staff members give in to requests to avoid conflict
- C. The client is isolated from the group for the remainder of the admission
- D. The client follows unit rules without seeking exceptions
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D. The client follows unit rules without seeking exceptionsAcceptance of consistent limits without staff-splitting indicates that the intervention is effective.
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