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NCLEX RN Practice Exam Questions

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Question 1 of 5

A client with a right lobectomy is being transported from the intensive care unit to a medical unit. The nurse understands that the client's chest drainage system:

Correct Answer: B

Rationale: The chest tube should remain unclamped and disconnected from suction during transport to prevent tension pneumothorax, with the system kept below chest level.

Question 2 of 5

A nurse has delegated care of a client in wrist restraints to a nursing assistant. The nursing assistant should check the skin circulation under the restraints at least

Correct Answer: C

Rationale: Restraints require circulation checks every 1-2 hours to prevent skin breakdown or neurovascular injury. Hourly checks (
C) balance safety and practicality.

Question 3 of 5

A 49-year-old female suffered a stroke that resulted in dysphagia. The dietician orders a diet of dysphagia-pureed foods. Which of the following foods would be an appropriate choice?

Correct Answer: C

Rationale: Custard is smooth and pureed, suitable for a dysphagia diet. Other options pose choking risks due to texture.

Question 4 of 5

The glycosylated hemoglobin of a 40-year-old client with diabetes mellitus is 2.5%. The nurse understands that:

Correct Answer: B

Rationale: A glycosylated hemoglobin (HbA1c) of 2.5% is below the normal range (4-5.6%), indicating overly tight glucose control, but in context, it suggests good diabetes management.

Question 5 of 5

A client has had diarrhea for the past 3 days. Which acid/base imbalance would the nurse expect the client to have?

Correct Answer: B

Rationale: Prolonged diarrhea leads to loss of bicarbonate, causing metabolic acidosis.

Similar Questions

The nurse is caring for a client who is disoriented. To avoid using restraints, the nurse chooses alternative methods to help keep the client oriented. Which interventions would the nurse use for this client? Select all that apply.
The nurse has rounded on all the assigned clients. While rounding, several health care providers have written orders on the nurse's clients. Which order would be the priority for the nurse to address?
A client tells the nurse that she takes St. John's wort (hypericum perforatum) three times a day for mild depression. The nurse should tell the client that:
A client with angina is experiencing migraine headaches. The physician has prescribed Sumatriptan succinate (Imitrex). Which nursing action is most appropriate?
The client has recently been diagnosed with diabetes. Which of the following indicates understanding of the management of diabetes?

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