NCLEX-RN
NCLEX RN Practice Questions
Extract:
Question 1 of 5
A client being treated with sodium warfarin has an INR of 8.0. Which intervention would be most important to include in the nursing care plan?
Correct Answer: A
Rationale: An INR of 8.0 indicates a high risk of bleeding, so assessing for abnormal bleeding is the priority intervention.
Question 2 of 5
A 60-year-old client has undergone a nerve-sparing prostatectomy and has been advised by his physician that he may not recover normal sexual functioning. The client is very concerned about this and asks the nurse for more information. Which of the following information should the nurse include? Select all that apply.
Correct Answer: A,B,D,E
Rationale: Post-prostatectomy, retrograde ejaculation (
A), variable recovery time (
B), avoiding intercourse for 1 month (
D), and anxiety's impact (E) are relevant. Recovery within a month (
C) is incorrect, and prioritizing other intimacy (F) is subjective.
Question 3 of 5
Twenty-four hours after an uncomplicated labor and delivery, a client's WBC is 12,000 cu/mm. The elevation in the client's WBC is most likely an indication of:
Correct Answer: A
Rationale: A WBC of 12,000 cu/mm post-delivery is a normal physiological response to the stress of labor and delivery.
Question 4 of 5
The nurse is performing discharge teaching on a client with ulcerative colitis who has been placed on a low-residue diet. Which food would need to be eliminated from this client's diet?
Correct Answer: C
Rationale: A low-residue diet minimizes fiber to reduce bowel irritation. Cooked broccoli, being high in fiber, should be eliminated, unlike low-fiber foods like roasted chicken, noodles, or roast beef.
Question 5 of 5
A client with hepatitis C who has cirrhosis changes has just returned from a liver biopsy. The nurse will place the client in which position?
Correct Answer: C
Rationale: Right side-lying position applies pressure to the liver biopsy site, reducing the risk of bleeding or bile leakage post-procedure.