NCLEX-RN
NCLEX RN Practice Questions
Extract:
Question 1 of 5
A client in the recovery ICU is on mechanical ventilation. The nurse notices the client has frothy secretions around his mouth, and the nurse hears adventitious breath sounds with the stethoscope. The nurse should
Correct Answer: B
Rationale: Frothy secretions and adventitious sounds suggest airway obstruction or pulmonary edema. Suctioning clears the endotracheal tube, improving ventilation.
Question 2 of 5
A client admitted to the psychiatric unit claims to be the Pope and insists that he will not be kept away from his subjects. The most likely explanation for the client's delusion is:
Correct Answer: C
Rationale: Delusions of grandeur, such as claiming to be the Pope, often stem from low self-esteem, compensating with an inflated sense of identity.
Question 3 of 5
The nurse is caring for a client who recently experienced a massive stroke. Which of the following statements by the spouse indicates a need for further teaching by the nurse?
Correct Answer: B
Rationale: Returning to work full time immediately after discharge may not be feasible due to the care needs of a client post-massive stroke, indicating a need for further education about caregiving demands.
Question 4 of 5
A client who had major abdominal surgery is having delayed healing of the wound. Which laboratory test result would most closely correlate with this problem?
Correct Answer: A
Rationale: Low albumin indicates poor nutritional status, impairing protein synthesis needed for wound healing, directly correlating with delayed healing.
Question 5 of 5
A client with an abdominal cholecystectomy returns from surgery with a Jackson-Pratt drain. The chief purpose of the Jackson-Pratt drain is to:
Correct Answer: C
Rationale: A Jackson-Pratt drain removes fluid from the surgical site, preventing seroma or hematoma formation.