NCLEX-RN
Free NCLEX RN Practice Questions Questions
Extract:
Question 1 of 5
An 18-month-old is being discharged following hypospadias repair. Which instruction should be included in the nurse's discharge teaching?
Correct Answer: A
Rationale: Avoiding straddling activities like rocking horses prevents strain on the surgical site post-hypospadias repair.
Question 2 of 5
The client pulls out the chest tube and fails to report the occurrence to the nurse. When the nurse discovers the incidence, he should take which initial action?
Correct Answer: C
Rationale: Covering the insertion site with Vaseline gauze prevents air entry into the pleural space, stabilizing the client until further intervention.
Question 3 of 5
The nurse is caring for the client following a laryngectomy when suddenly the client becomes nonresponsive and pale, with a BP of 90/40. The initial nurse's action should be to:
Correct Answer: B
Rationale: Hypotension and unresponsiveness suggest hypovolemia or shock, so increasing the normal saline infusion is the initial action to restore volume.
Question 4 of 5
The nurse is caring for a client with epilepsy who is being treated with carbamazepine (Tegretol). Which laboratory value might indicate a serious side effect of this drug?
Correct Answer: C
Rationale: A WBC of 2000 indicates leukopenia, a serious side effect of carbamazepine that increases infection risk.
Question 5 of 5
When assessing a client's skin, the nurse notes a scattered red rash on the trunk. The individual lesions are about 0.5 cm in diameter and are flat, nonpalpable, and circumscribed. How would this type of lesion be classified?
Correct Answer: C
Rationale: A flat, nonpalpable lesion ≤1 cm is a macule (
C). Papules (
A) are raised, nodules (
B) are deeper and larger, and patches (
D) are larger flat lesions.