NCLEX-RN
NCLEX RN Practice Test Questions
Extract:
Question 1 of 5
A nurse is planning care for a client with human immunodeficiency virus. The nurse knows to wear gloves under the following circumstance(s). Select all that apply.
Correct Answer: A, C, D
Rationale: Gloves are required for contact with open wounds, starting an IV, or drawing blood due to potential exposure to blood or body fluids, per standard precautions. Gloves are not needed for all contact.
Question 2 of 5
A client with an inguinal hernia asks the nurse why he should have surgery when he has had a hernia for years. The nurse understands that surgery is recommended to:
Correct Answer: A
Rationale: Surgery is recommended for an inguinal hernia to prevent strangulation, which can lead to bowel obstruction and tissue necrosis.
Question 3 of 5
Which of the following findings would be expected in the infant with biliary atresia?
Correct Answer: C
Rationale: Biliary atresia causes abdominal distention due to bile accumulation and poor weight gain due to malabsorption.
Question 4 of 5
The nurse is preparing a 73-year-old client for cataract surgery on the left eye. Which statement by the client indicates a need for further teaching?
Correct Answer: C
Rationale: Stopping Coumadin without medical guidance is unsafe, as it may increase clotting risk, indicating a need for further teaching.
Question 5 of 5
Following application of a right BK prosthesis for an amputated limb, the client returns for evaluation, and the nurse notes that the client has an unstable gait and the right hip and knee are showing signs of slight flexion contractures. The client admits to infrequent use of the prosthesis. Which of the following interventions are most indicated? Select all that apply.
Correct Answer: A,B,D
Rationale: Sympathetic encouragement (
A), retraining (
B), and counseling (
D) address infrequent use and contractures constructively. Chastising (
C) is non-therapeutic and demotivating.