NCLEX-RN
NCLEX RN Practice Questions
Extract:
Question 1 of 5
A client has an open draining wound infected with MRSA and is on contact precautions. If the nurse is entering the room to care for the client, when are gloving and gowning necessary?
Correct Answer: C
Rationale: Contact precautions for MRSA require gloving and gowning upon entering the room (
C) for any patient or environmental contact to prevent transmission. Limited contact (A,
B) or uncontained drainage (
D) does not override the need for full precautions.
Question 2 of 5
The nurse is caring for a client following a laryngectomy. The nurse can best help the client with communication by:
Correct Answer: A
Rationale: A pad and pencil allow the client, who cannot speak after a laryngectomy, to communicate effectively by writing messages.
Question 3 of 5
The nurse is completing an assessment history of a client with pernicious anemia. Which complaint differentiates pernicious anemia from other types of anemia?
Correct Answer: B
Rationale: Numbness and tingling in the extremities are specific to pernicious anemia due to vitamin B12 deficiency affecting peripheral nerve function.
Question 4 of 5
A trauma client is admitted to the emergency room following a motor vehicle accident. Examination reveals that the left side of the chest moves inward when the client inhales. The finding is suggestive of:
Correct Answer: D
Rationale: Inward chest movement on inhalation indicates flail chest, where multiple rib fractures cause a segment of the chest wall to move independently.
Question 5 of 5
A client has returned from having a bronchoscopy. Before offering the client sips of water, the nurse should assess the client's:
Correct Answer: C
Rationale: Assessing the gag reflex ensures the client can swallow safely post-bronchoscopy due to local anesthesia.