NCLEX-RN
NCLEX RN Practice Questions
Extract:
Question 1 of 5
The client admitted 2 days earlier with a lung resection accidentally pulls out the chest tube. Which action by the nurse indicates understanding of the management of chest tubes?
Correct Answer: C
Rationale: Covering the insertion site with Vaseline gauze prevents air from entering the pleural space, which is the priority action for a dislodged chest tube.
Question 2 of 5
A client has an open draining wound infected with MRSA and is on contact precautions. If the nurse is entering the room to care for the client, when are gloving and gowning necessary?
Correct Answer: C
Rationale: Contact precautions for MRSA require gloving and gowning upon entering the room (
C) for any patient or environmental contact to prevent transmission. Limited contact (A,
B) or uncontained drainage (
D) does not override the need for full precautions.
Question 3 of 5
The nurse is performing a history on a client admitted for surgery in the morning. Which long-term medication in the client's history would be most important to report to the physician?
Correct Answer: A
Rationale: Prednisone, a corticosteroid, can affect wound healing, immune response, and adrenal function, requiring perioperative adjustments. The other medications are less critical.
Question 4 of 5
The nurse is completing an assessment history of a client with pernicious anemia. Which complaint differentiates pernicious anemia from other types of anemia?
Correct Answer: B
Rationale: Numbness and tingling in the extremities are specific to pernicious anemia due to vitamin B12 deficiency affecting peripheral nerve function.
Question 5 of 5
The nurse is caring for a client with chronic kidney failure who is receiving Epoetin alfa. The nurse understands which statement to be true regarding this medication?
Correct Answer: D
Rationale: Epoetin alfa stimulates red blood cell production and is typically given weekly via IM or subcutaneous routes. Other options misrepresent its effects or side effects.