NCLEX-RN
NCLEX RN Practice Questions
Extract:
Question 1 of 5
A client is diagnosed with stage II Hodgkin's lymphoma. The nurse recognizes that the client has involvement:
Correct Answer: B
Rationale: Stage II Hodgkin's lymphoma involves two or more lymph nodes or a single organ on the same side of the diaphragm, per the Ann Arbor staging system.
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 client is admitted from the emergency room with multiple injuries sustained from an auto accident. His doctor prescribes a histamine blocker. The nurse is aware that the reason for this order is to:
Correct Answer: C
Rationale: Histamine blockers (e.g., famotidine) are used post-trauma to prevent stress ulcers due to increased gastric acid production.
Question 4 of 5
A 5-year-old child is hospitalized for correction of congenital hip dysplasia. During the assessment of the child, the nurse can expect to find the presence of:
Correct Answer: D
Rationale: Trendelenburg sign is associated with congenital hip dysplasia, where the pelvis tilts downward on the unaffected side when the child stands on the affected leg, indicating hip instability.
Question 5 of 5
Which of the following nursing interventions has the highest priority for the client scheduled for an intravenous pyelogram?
Correct Answer: B
Rationale: Asking about shellfish allergies is critical, as iodine-based contrast used in IVP can cause severe allergic reactions in those with shellfish or iodine allergies.