NCLEX-RN
NCLEX RN Practice Questions
Extract:
Question 1 of 5
An older client says that she frequently experiences stress incontinence and may have to stop playing golf because swinging the golf club often results in small amounts of urinary incontinence. Which of the following suggestions may be most effective?
Correct Answer: B
Rationale: The 'knack' (
B), contracting pelvic floor muscles before swinging, can prevent stress incontinence. Deep breathing (
A) is ineffective, pads (
C) manage but don't prevent, and urinating beforehand (
D) is less effective.
Question 2 of 5
The nurse is reviewing labs on a client receiving IV heparin and notes an INR of 4.6. Which order by the health care provider does the nurse anticipate?
Correct Answer: B
Rationale: Protamine sulfate is the antidote for heparin overdose, appropriate for an elevated INR indicating excessive anticoagulation.
Question 3 of 5
A client in the recovery ICU is on mechanical ventilation. The nurse notices the client has frothy secretions around his mouth, and the nurse hears adventitious breath sounds with the stethoscope. The nurse should
Correct Answer: B
Rationale: Frothy secretions and adventitious sounds suggest airway obstruction or pulmonary edema. Suctioning clears the endotracheal tube, improving ventilation.
Question 4 of 5
The nurse is caring for a 4-year-old with cerebral palsy. Which nursing intervention will help ready the child for rehabilitative services?
Correct Answer: D
Rationale: Video games can improve hand-eye coordination and muscle control, aiding in rehabilitation for a child with cerebral palsy.
Question 5 of 5
A client with an abdominal cholecystectomy returns from surgery with a Jackson-Pratt drain. The chief purpose of the Jackson-Pratt drain is to:
Correct Answer: C
Rationale: A Jackson-Pratt drain removes fluid from the surgical site, preventing seroma or hematoma formation.