NCLEX-RN
NCLEX RN Practice Test Questions
Extract:
Question 1 of 5
A client is to be discharged with a tracheostomy. Which of the following should the nurse most stress when educating the client about home management? Select all that apply.
Correct Answer: B,D
Rationale: Pulmonary hygiene (
B) and tracheostomy care (
D) are critical to prevent infections and maintain airway patency. Bowel care (
A), supplements (
C), and exercise (E) are secondary.
Question 2 of 5
The nurse is caring for a client with a history of liver cirrhosis who is admitted with ascites. Which of the following interventions should the nurse implement?
Correct Answer: B
Rationale: furosemide is a diuretic used to reduce ascites in liver cirrhosis
Question 3 of 5
The nurse is teaching the client regarding use of sodium warfarin. Which statement made by the client would require further teaching?
Correct Answer: C
Rationale: Aspirin increases bleeding risk when taken with warfarin, indicating a need for further teaching to avoid this combination.
Question 4 of 5
The nurse is caring for a client with marked clubbing of the fingers and toes. The nurse understands which to be true regarding clubbing? Select all that apply.
Correct Answer: A,C,E,F
Rationale: Clubbing is permanent, associated with sickle cell disease, right-sided heart failure, and congenital heart defects due to chronic hypoxia. Dialysis and acute oxygen deprivation are not typical causes.
Question 5 of 5
The nurse is educating the lady's club in self-breast exam. The nurse is aware that most malignant breast masses occur in the Tail of Spence. On the diagram, place an X on the Tail of Spence.
Correct Answer: A
Rationale: The Tail of Spence is the upper outer quadrant of the breast, where an X should be placed, as most breast cancers occur in this area.