NCLEX-PN
NCLEX Trainer Test 4 Questions
Extract:
Question 1 of 5
A client is scheduled to undergo a bone marrow aspiration. Which position would the nurse assist the client into for this procedure?
Correct Answer: A
Rationale: The dorsal recumbent position is used for bone marrow aspiration, typically performed on the iliac crest, allowing access and patient comfort. Supine, High Fowler's, and lithotomy positions are not suitable, so B, C, and D are incorrect.
Question 2 of 5
A client has just returned to the medical-surgical unit following a segmental lung resection. After assessing the client, the first nursing action would be to
Correct Answer: B
Rationale: Suction excessive tracheobronchial secretions. Suctioning the copious tracheobronchial secretions present in post-thoracic surgery clients maintains an open airway, which is always the priority nursing intervention.
Extract:
A patient is admitted to the hospital for a hypoglossectomy with lymph node dissection.
Question 3 of 5
The patient's preoperative care includes frequent oral hygiene with hydrogen peroxide. The nurse knows the purpose of this treatment is to
Correct Answer: A
Rationale: Strategy: Determine how each answer choice relates to the procedure. (1) correct-destroys bacteria found in mouth, reduces the chance of infection (2) is not the action of hydrogen peroxide (3) circulation is unaffected by a mouth rinse (4) has slight drying effect on mucous membranes
Extract:
Question 4 of 5
The nurse is caring for a client with a history of glaucoma.
Correct Answer: A
Rationale: Applying pressure to the inner canthus (nasolacrimal occlusion) prevents systemic absorption of timolol, reducing side effects like bradycardia. Drops are used regularly, not symptom-based, and cleansing is unnecessary unless debris is present.
Question 5 of 5
The nurse is caring for a 14 month-old just diagnosed with cystic fibrosis. The parents state this is the first child in either family with this disease, and ask about the risk to future children. What is the best response by the nurse?
Correct Answer: B
Rationale: 1 in 4 risk for each child to have the disease. Cystic fibrosis is autosomal recessive, with a 25% chance of the disease per pregnancy if both parents are carriers.