NCLEX-RN
NCLEX RN Practice Questions with Answers Questions
Extract:
Question 1 of 5
A client with a suspected diagnosis of lung cancer has a bronchoscopy with biopsy. Following the procedure the nurse should:
Correct Answer: B
Rationale: Monitoring for pneumothorax is critical after a bronchoscopy with biopsy, as it is a potential complication due to lung puncture.
Question 2 of 5
Which of these clients is at greatest risk for falls?
Correct Answer: B
Rationale: An 87-year-old female is at the greatest risk for falls due to age-related factors like decreased mobility, balance issues, and potential comorbidities, compared to younger or less impaired clients.
Question 3 of 5
The nurse is auscultating the lung sounds of a client with long-standing emphysema. The nurse should determine if the client has?
Correct Answer: B
Rationale: Diminished breath sounds are typical in emphysema due to air trapping and reduced airflow. Crackles, stridor, and pleural friction rubs are associated with other conditions.
Question 4 of 5
A client with a history of schizophrenia is admitted with auditory hallucinations. The nurse should prioritize which of the following interventions?
Correct Answer: A, B
Rationale: A quiet environment and haloperidol reduce stimulation and manage hallucinations.
Question 5 of 5
A client with the diagnosis of leukemia is receiving chemotherapy. When the registered nurse (RN) notes that the white blood cell (WBC) count is 4000 mm^3 (4 x 10^9/L), the new nurse caring for the client is informed about the results. Which intervention identified by the new nurse indicates a need for further teaching?
Correct Answer: D
Rationale: Padding the side rails and removing all hazardous and sharp objects from the environment would be instituted if the client is at risk for bleeding. This client is at risk for infection. When the WBC count is less than 5000 mm^3 (5 x 10^9/L), visitors should be screened for the presence of infection, and any visitors or staff with colds or respiratory infections should not be allowed in the client's room. All live plants, flowers, and stuffed animals are removed from the client's room. The client is placed on a low-bacteria diet that excludes raw fruits and vegetables.