NCLEX-RN
NCLEX-RN Exam Questions
Extract:
Question 1 of 5
A 67-year-old client will be undergoing a coronary arteriography in the morning. Client teaching about postprocedure nursing care should include that:
Correct Answer: D
Rationale: Keeping the leg straight for 8-12 hours minimizes bleeding risk at the arterial puncture site after coronary arteriography.
Question 2 of 5
Following a bicycle accident, a 12-year-old client sustained a complete fracture of the left femur. He was placed in 90-90 skeletal traction with a pin in the distal end of the femur to achieve realignment and immobilization of the left femur. When providing nursing care, it is important for the nurse to remember that:
Correct Answer: B
Rationale: It is necessary to keep the pin site clean and free from infection, which is critical in skeletal traction care.
Question 3 of 5
A 54-year-old client is admitted to the hospital with a possible gastric ulcer. He is a heavy smoker. When discussing his smoking habits with him, the nurse should advise him to:
Correct Answer: C
Rationale: Smoking on a full stomach minimizes nicotine's effect on gastric acid, reducing ulcer irritation. Other options still stimulate gastric acid secretion.
Question 4 of 5
The client is admitted with a diagnosis of molar pregnancy. Which laboratory test is most likely to be ordered?
Correct Answer: A
Rationale: Serum hCG levels are markedly elevated in molar pregnancy and are the primary test for diagnosis and monitoring. CBC and urinalysis may be ordered for general assessment but are less specific.
Question 5 of 5
A vaginal exam reveals that the cervix is 4cm dilated,with intact membranes and a fetal heart tone rate of 160-170 bpm. The nurse decides to apply an external fetal monitor. The rationale for this implementation is:
Correct Answer: B
Rationale: External fetal monitoring is appropriate when membranes are intact as internal monitoring requires ruptured membranes. The cervix is not closed fetal heart tones are normal and contraction intensity is irrelevant to external monitoring.