NCLEX-RN
RN NCLEX Practice Questions Questions
Extract:
Question 1 of 5
A client with breast cancer is returned to the room following a right total mastectomy. The nurse should:
Correct Answer: A
Rationale: Elevating the arm on pillows reduces edema and promotes lymphatic drainage post-mastectomy, aiding recovery.
Question 2 of 5
When examining an 80-year-old client with chronic COPD receiving home health care, the nurse notes that over the previous 48 hours the client has developed scattered painful pustular lesions on the right arm near the elbow (see photo), on the back of the neck, the face, and on both legs. Which of the following does the nurse suspect is the most likely cause of the lesions?
Correct Answer: C
Rationale: Painful pustular lesions in a client with chronic illness suggest MRSA (
C), a common healthcare-associated infection. Psoriasis (
A) presents with scaly plaques, herpes zoster (
B) follows a dermatomal pattern, and contact dermatitis (
D) is typically itchy, not pustular.
Question 3 of 5
The physician has ordered Dilantin (phenytoin) for a client with generalized seizures. When planning the client's care the nurse should:
Correct Answer: D
Rationale: Dilantin can cause gingival hyperplasia, so oral hygiene and gum care are essential to prevent complications.
Question 4 of 5
A client's serum sodium level is 113 mEq/L. The nurse would expect which findings upon assessment?
Correct Answer: A
Rationale: Severe hyponatremia (113 mEq/L) causes neurological symptoms like headache, confusion, muscle weakness, and fatigue due to cerebral edema.
Question 5 of 5
The rationale for inserting a French catheter every hour for the client with epidural anesthesia is:
Correct Answer: C
Rationale: Epidural anesthesia can reduce bladder sensation, necessitating frequent catheterization to prevent overdistension.