NCLEX-RN
Practice NCLEX RN Questions Questions
Extract:
Question 1 of 5
A priority nursing diagnosis for a child being admitted from surgery following a tonsillectomy is:
Correct Answer: C
Rationale: Post-tonsillectomy, the risk of bleeding and aspiration is a priority due to the surgical site in the throat.
Question 2 of 5
An elderly client with an abdominal surgery is admitted to the unit following surgery. In anticipation of complications of anesthesia and narcotic administration, the nurse should:
Correct Answer: B
Rationale: Narcan reverses opioid overdose, a potential complication of narcotic use post-surgery.
Question 3 of 5
A 65-year-old client is admitted after a stroke. The nurse is concerned about skin breakdown and decubitus ulcer development. Which nursing intervention would best improve tissue perfusion to prevent skin problems?
Correct Answer: D
Rationale: Performing range-of-motion exercises and turning/repositioning the client promotes blood circulation, which enhances tissue perfusion and prevents pressure ulcers. Assessing the skin detects problems but doesn't improve perfusion, massaging erythematous areas can worsen tissue damage, and changing pads addresses hygiene but not perfusion directly.
Question 4 of 5
The registered nurse is making shift assignments. Which client should be assigned to the licensed practical nurse (LPN)?
Correct Answer: A
Rationale: LPNs can manage stable clients with routine care, like a diabetic with a foot ulcer requiring dressings. Heparin, tracheostomy weaning, and T-tube management involve complex assessments better suited for RNs.
Question 5 of 5
The physician has ordered a minimal-bacteria diet for a client with neutropenia. The client should be taught to avoid eating:
Correct Answer: A
Rationale: Raw fruits may harbor bacteria, posing an infection risk for a neutropenic client on a minimal-bacteria diet.