NCLEX-RN
NCLEX RN Practice Test Questions
Extract:
Question 1 of 5
A client with a peptic ulcer had a partial gastrectomy and vagotomy (Billroth I). In planning the discharge teaching, the client should be cautioned by the nurse about which of the following?
Correct Answer: D
Rationale: basic guidelines to teach a postgastrectomy client are measures to prevent dumping syndrome, which include: lying down for 30 minutes after meals, drinking fluids between meals, and reducing intake of carbohydrates
Question 2 of 5
If both parents are carriers of the defective gene for a disease with an autosomal recessive inheritance, what percentage chance does each child have of inheriting the gene from both parents and developing the disorder? Report your answer using a whole number.
Correct Answer: 25
Rationale: Autosomal recessive inheritance: Each parent has a 50% chance of passing the defective gene, so the child's chance is 0.5 X 0.5 = 0.25 or 25%.
Question 3 of 5
The nurse is caring for a client after he experienced a seizure (postictal). Which intervention would the nurse expect not to perform?
Correct Answer: A
Rationale: During the postictal phase, the client needs rest and monitoring, not immediate return to pre-seizure activity, which could be unsafe.
Question 4 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 5 of 5
A client with a C4 spinal cord injury has been placed in traction with cervical tongs. Nursing care should include:
Correct Answer: D
Rationale: Sterile pin care is essential to prevent infection at the site of cervical tongs, while altering traction or bed position could compromise spinal alignment.