NCLEX-RN
NCLEX RN Practice Questions
Extract:
Question 1 of 5
A client has had a central catheter inserted for administration of parenteral nutrition. An X-ray was taken to ensure correct positioning prior to commencing infusions. The X-ray report indicates that the catheter tip is in the right atrium. Which of the following actions by the nurse is correct?
Correct Answer: A
Rationale: Catheter tip in the right atrium is too far; infusion should be held and the MD notified (
A) for repositioning. Adjusting the catheter (B,
D) or starting infusion (
C) is unsafe.
Question 2 of 5
The client admitted 2 days earlier with a lung resection accidentally pulls out the chest tube. Which action by the nurse indicates understanding of the management of chest tubes?
Correct Answer: C
Rationale: Covering the insertion site with Vaseline gauze prevents air from entering the pleural space, which is the priority action for a dislodged chest tube.
Question 3 of 5
The nurse asked the client if he has an advance directive. The reason for asking the client this question is:
Correct Answer: B
Rationale: An advance directive clarifies the client's wishes, reducing family confusion during critical medical decisions.
Question 4 of 5
After a discharge, there is a private room available on the floor. The nurse should move which client to the private room?
Correct Answer: B
Rationale: Pityriasis rosea is a potentially contagious rash, warranting a private room to prevent spread. The other conditions are not infectious.
Question 5 of 5
A public health nurse works with a specific population. Many of the clients use herbal remedies at home. The nurse would express concern if which of the following clients reported using herbal remedies?
Correct Answer: E
Rationale: Herbal remedies may pose risks in children (
A) due to dosing concerns, but none of the conditions listed raise specific red flags. The question may lack context for a definitive answer.