NCLEX-RN
NCLEX RN Practice Exam Questions
Extract:
Question 1 of 5
The doctor is preparing to remove chest tubes from the client's left chest. In preparation for the removal, the nurse should instruct the client to:
Correct Answer: B
Rationale: Holding breath and bearing down (Valsalva maneuver) prevents air entry into the pleural space during chest tube removal.
Question 2 of 5
The client with color blindness will most likely have problems distinguishing which of the following colors?
Correct Answer: C
Rationale: Red-green color blindness is the most common type, making it difficult to distinguish red.
Question 3 of 5
The nurse is teaching a female client who is experiencing urge incontinence how to manage her condition at home. Which statement by the client indicates a need for further explanation by the nurse?
Correct Answer: A
Rationale: Urge incontinence may not be cured in four weeks; bladder retraining aims to manage symptoms, not guarantee a cure, indicating a need for further teaching.
Question 4 of 5
A client is being treated for cancer with linear acceleration radiation. The physician has marked the radiation site with a blue marking pen. The nurse should:
Correct Answer: D
Rationale: Soap or lotion can remove radiation site markings or irritate the skin, so they should be avoided to ensure accurate treatment.
Question 5 of 5
The nurse is working on a discharge teaching plan for a client prescribed phenelzine (Nardil), a monoamine oxidase inhibitor (MAOI drug). The nurse knows teaching was successful if the client states,
Correct Answer: A
Rationale: MAOIs like phenelzine require avoiding tyramine-rich foods (e.g., wine, aged cheese) to prevent hypertensive crisis. Dairy, vitamin K, and fiber are not contraindicated.