NCLEX-RN
Practice NCLEX RN Questions Questions
Extract:
Question 1 of 5
The nurse is caring for a client who is postoperative day 1 following a mastectomy. The client refuses to look at the surgical site or participate in wound care teaching. Which of the following actions by the nurse is MOST appropriate?
Correct Answer: A
Rationale: encouraging the client to express feelings promotes coping and addresses potential body image concerns
Question 2 of 5
The physician has ordered continuous bladder irrigation for a client following a prostatectomy. The nurse should:
Correct Answer: A
Rationale: Hanging the solution 2-3 feet above the abdomen ensures proper flow by gravity without excessive pressure, maintaining effective irrigation.
Question 3 of 5
Which laboratory test would be the least effective in making the diagnosis of a myocardial infarction?
Correct Answer: A
Rationale: AST is less specific for myocardial infarction than troponin, CK-MB, or myoglobin.
Question 4 of 5
The nurse is caring for a client with a wound with purulent, foul-smelling drainage. A wound culture is ordered. Which describes the correct collection technique?
Correct Answer: A
Rationale: Cleaning the wound with saline removes surface contaminants, ensuring an accurate culture from viable tissue.
Question 5 of 5
Which activity is suitable for a client who suffered an uncomplicated myocardial infarction (MI) 2 days ago?
Correct Answer: A
Rationale: Sitting in a chair for short periods is appropriate 2 days post-MI to promote circulation and prevent complications, while ambulation is too strenuous.