NCLEX-RN
NCLEX RN Practice Tests Questions
Extract:
Question 1 of 5
The first exercise that should be performed by the client who had a mastectomy 1 day earlier is:
Correct Answer: D
Rationale: Squeezing a ball is a gentle initial exercise to restore arm mobility.
Question 2 of 5
The nurse is caring for a client who is postoperative day 2 following a cholecystectomy. The client reports nausea and has not had a bowel movement since surgery. Which of the following actions should the nurse take FIRST?
Correct Answer: D
Rationale: assessment of bowel sounds is the first step to determine if there is a postoperative ileus or other complication
Question 3 of 5
The nurse recognizes all of the following as type IV hypersensitivity reactions EXCEPT
Correct Answer: D
Rationale: Type IV hypersensitivity is cell-mediated (e.g., contact dermatitis, Crohn’s, GVH
D). Penicillin allergy is typically type I (IgE-mediated).
Question 4 of 5
The nurse is assessing a client following the removal of a pituitary tumor. The nurse notes that the urinary output has increased and that the urine is very dilute. The nurse should give priority to:
Correct Answer: A
Rationale: Increased dilute urine suggests diabetes insipidus, a complication of pituitary surgery, requiring immediate physician notification for evaluation and treatment.
Question 5 of 5
If a client is to have a nasogastric (NG) tube inserted for intermittent feedings, which of the following is an appropriate task to delegate to unlicensed assistive personnel?
Correct Answer: C
Rationale: Administering tube feedings (
C) can be delegated to unlicensed assistive personnel if trained, per facility policy. Inserting (
A), verifying (
B), and repositioning (
D) require nursing judgment.