NCLEX-RN
NCLEX-RN Exam Practice Questions
Extract:
Question 1 of 5
The nurse is caring for a client following a right nephrolithotomy. Post-operatively, the client should be positioned:
Correct Answer: C
Rationale: Positioning on the left side helps reduce pressure on the surgical site (right kidney) and promotes drainage and comfort post-nephrolithotomy.
Question 2 of 5
In healthcare settings, nurses must be familiar with primary, secondary, and tertiary levels of care. As a nurse in the community, which of the following interventions might be a primary prevention strategy?
Correct Answer: C
Rationale: Reducing the incidence of disease through education supports primary prevention.
Question 3 of 5
The physician has ordered Amoxil (amoxicillin) 500mg capsules for a client with esophageal varices. The nurse can best care for the client's needs by:
Correct Answer: D
Rationale: Clients with esophageal varices are at risk for bleeding, and swallowing capsules can irritate or rupture varices. Requesting a liquid or IV form of amoxicillin is safer.
Question 4 of 5
A pregnant client is at the clinic for a third trimester prenatal visit. During this examination, it has been determined that her fetus is in a vertex presentation with the occiput located in her right anterior quadrant. On her chart this would be noted as:
Correct Answer: B
Rationale: The fetus in the right occipitoposterior position would be presenting with the occiput in the maternal right posterior quadrant. Fetal position is defined by the location of the fetal presenting part in the four quadrants of the maternal pelvis. The right occipitoanterior is a fetus presenting with the occiput in mother's right anterior quadrant. The fetus in right sacroanterior position would be presenting a sacrum, not an occiput. The fetus in left occipitoanterior position would be presenting with the occiput in the mother's left anterior quadrant.
Question 5 of 5
A 25-year-old outpatient presents with a diagnosis of compulsive personality disorder. His coworkers become annoyed with his rigid, perfectionistic manner and preoccupation with trivial details and schedules. A nursing intervention appropriate for this client would include:
Correct Answer: D
Rationale: This answer is incorrect. The client will work hard at the activity instead of enjoying it. This answer is incorrect. The nurse should allow the client to discuss these thoughts, within limits, not to avoid discussing them. This answer is incorrect. The compulsive client tends to control time to excess. It should not be encouraged. This answer is correct. A contract with the client regarding the amount of time that will be spent discussing the compulsive activities is appropriate. Time allotted should be gradually decreased.