NCLEX-RN
Practice NCLEX RN Questions Questions
Extract:
Question 1 of 5
A client is post-operative laryngectomy for cancer of the larynx. Which nursing diagnosis would be the priority for this client?
Correct Answer: B
Rationale: Ineffective airway clearance is the priority post-laryngectomy due to the risk of mucus obstruction in the new airway (stoma), which can be life-threatening.
Question 2 of 5
The physician has ordered Vancocin (vancomycin) 500 mg IV every 6 hours for a client with MRSA. The medication should be administered:
Correct Answer: D
Rationale: Vancomycin should be infused over at least 60 minutes to prevent adverse reactions such as red man syndrome.
Question 3 of 5
The nurse is preparing a client for discharge following the removal of a cataract. The nurse should tell the client to:
Correct Answer: B
Rationale: Avoiding bending over prevents increased intraocular pressure post-cataract surgery.
Question 4 of 5
Which cephalic presentation is most common during delivery of a neonate?
Correct Answer: A
Rationale: Vertex presentation (
A), with the head flexed and occiput leading, is the most common (95%) during delivery.
Question 5 of 5
The nurse is giving an end-of-shift report when a client with a chest tube is noted in the hallway with the tube disconnected. What is the most appropriate action?
Correct Answer: B
Rationale: A disconnected chest tube risks air entering the pleural space, causing pneumothorax. Placing the end in sterile saline creates a water seal, preventing air entry until reconnection.