NCLEX-RN
NCLEX-RN Exam Questions
Extract:
Question 1 of 5
A client with a history of a total hip replacement is being discharged. The nurse should teach the client to avoid:
Correct Answer: B
Rationale: Crossing legs after a total hip replacement risks hip dislocation by adducting the femur. Sleeping, walking, or lying prone (if tolerated) are generally safe with proper precautions.
Question 2 of 5
The nurse enters the room of a client on which a 'do not resuscitate' order has been written and discovers that she is not breathing. Once the husband realizes what has occurred he yells, 'please save her!' The nurse's action would be:
Correct Answer: D
Rationale: (A, B,
C) The last request from the husband overrides the decision not to initiate resuscitation efforts. The nurse should begin cardiopulmonary resuscitation unless a living will and durable power of attorney are in force. In the meantime, the nurse should talk with the husband and notify the doctor.
Question 3 of 5
The best diagnostic test for treponema pallidum is:
Correct Answer: C
Rationale: The fluorescent treponemal antibody (FT
A) test is the most specific and sensitive for detecting Treponema pallidum (syphilis). VDRL and RPR are non-treponemal tests used for screening and Thayer-Martin culture is for gonorrhea.
Question 4 of 5
After attending a company picnic, several clients are admitted to the emergency room with E. coli food poisoning. The most likely source of infection is:
Correct Answer: A
Rationale: Undercooked hamburger is a common source of E. coli, particularly E. coli O157:H7, which can contaminate ground beef.
Question 5 of 5
The nurse is caring for a client with a colostomy. Which finding requires immediate intervention?
Correct Answer: D
Rationale: A significantly protruding stoma may indicate prolapse, a complication requiring immediate intervention to prevent ischemia or obstruction. Pink stoma, cramping, and liquid stool are normal or less urgent.