NCLEX-RN
Practice NCLEX RN Questions Questions
Extract:
Question 1 of 5
A nurse is caring for a client who has just undergone an ileostomy procedure. The nurse expects how much drainage from the ileostomy during the first 24 hours post-op?
Correct Answer: B
Rationale: Ileostomy drainage in the first 24 hours post-op is typically 500-1,000 mL due to liquid stool output. 800 mL is the most reasonable estimate.
Question 2 of 5
During a pre-op assessment, the nurse would chart which finding(s) as subjective data? Select all that apply.
Correct Answer: B,C,E
Rationale: Subjective data are client-reported, including statements about surgery concerns, weight loss, and pain ratings. Sweating/wringing hands and blood pressure are objective (observable/measurable).
Question 3 of 5
The nurse is assessing a client with an altered level of consciousness. One of the first signs of altered level of consciousness is:
Correct Answer: C
Rationale: Restlessness is often an early sign of altered consciousness, indicating neurological changes before more severe symptoms appear.
Question 4 of 5
Which finding is associated with Tay Sachs disease?
Correct Answer: B
Rationale: Cherry-red spots on the macula are a classic finding in Tay-Sachs disease due to lipid accumulation in retinal ganglion cells.
Question 5 of 5
Which of the following techniques is recommended for removing a tick from the skin?
Correct Answer: C
Rationale: Using tweezers to pull the tick steadily minimizes the risk of leaving mouthparts in the skin.