NCLEX-RN
NCLEX RN Practice Questions Questions
Extract:
Question 1 of 5
The chart of a client hospitalized for a total hip repair reveals that the client is colonized with MRSA. The nurse understands that the client:
Correct Answer: A
Rationale: MRSA colonization means the bacteria are present without causing active infection, so the client is asymptomatic but requires contact precautions.
Question 2 of 5
The nurse is caring for a client with a Brown-Sequard spinal cord injury. The nurse should expect the client to have:
Correct Answer: D
Rationale: Brown-Sequard syndrome causes loss of sensation contralateral to the injury and motor loss ipsilateral to the injury.
Question 3 of 5
A nurse starts an IV medication for a client. It is ordered as IV push, and she pushes the medication slowly over two minutes. The client then becomes restless, complains of chest pain, has difficulty breathing, and becomes cyanotic. The nurse recognizes this is most likely caused by
Correct Answer: D
Rationale: Rapid onset of chest pain, dyspnea, cyanosis, and restlessness after IV push suggests pulmonary embolism, likely from air or thrombus introduced during administration.
Question 4 of 5
A client has had a long leg cast removed after eight weeks. Which of the following actions is the correct method of cleansing the skin after cast removal?
Correct Answer: B
Rationale: Soaking in a tub and washing with a washcloth (
B) gently removes dead skin and debris without irritation. A bath brush (
A) or hot water (
D) may be too harsh, and enzyme wash (
C) is unnecessary.
Question 5 of 5
A client seen in the doctor's office for complaints of nausea and vomiting is sent home with directions to follow a clear-liquid diet for the next 24-48 hours. Which of the following is not permitted on a clear-liquid diet?
Correct Answer: C
Rationale: Ice cream is not a clear liquid, as it is opaque and contains dairy.