NCLEX-RN
NCLEX RN Practice Questions
Extract:
Question 1 of 5
A client is scheduled for a hypophysectomy following the discovery of a pituitary gland tumor. The nurse is teaching the client about the procedure. Which statement by the client indicates effective learning? Select all that apply.
Correct Answer: A, C, D, E
Rationale: Soft toothbrushing, avoiding bending, not blowing the nose, and mouth breathing due to nasal packing are correct post-hypophysectomy instructions. The nasal pad should not be removed the next morning without orders.
Question 2 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 3 of 5
The nurse is caring for clients in outpatient surgery. The mother of a four-year-old asks the nurse how to prepare her daughter for eye surgery. Which of the following statements by the nurse is BEST?
Correct Answer: C
Rationale: use puppet or doll to show where procedure is performed; explain procedure in simple terms and what the child will see, hear, taste, smell, and feel
Question 4 of 5
The nurse is performing a breast exam on a client when she discovers a mass. Which characteristic of the mass would most indicate a reason for concern?
Correct Answer: D
Rationale: A firm, immobile mass is more likely to be malignant. Tender, regular, or mobile masses are often benign, but firmness warrants further evaluation.
Question 5 of 5
A tornado warning has been issued in the area surrounding the hospital. Which action by the nurse is most appropriate to ensure client safety?
Correct Answer: B
Rationale: Moving clients to the hallway, closing blinds, and shutting doors minimizes risks from flying debris and broken windows during a tornado.