NCLEX-RN
Free NCLEX RN Practice Questions Questions
Extract:
Question 1 of 5
The nurse is caring for a client who is postoperative day 1 following a total hip replacement. Which of the following positions should the nurse AVOID placing the client in?
Correct Answer: D
Rationale: prone position with legs adducted can cause hip dislocation; abduction is maintained post-hip replacement
Question 2 of 5
The nurse is caring for a postcholecystectomy client who had the T-tube removed this AM. Two hours after removal of the T-tube, the nurse notes that the 4x4 dressing covering the stab site is saturated with dark, greenish-yellow drainage. It is MOST appropriate for the nurse to take which of the following actions?
Correct Answer: A
Rationale: expected that a stab wound will continue to drain until the wound seals; nurse should keep wound clean and dry
Question 3 of 5
Which clinical manifestation during the actual bone marrow transplantation alerts you to the possibility of an adverse reaction?
Correct Answer: D
Rationale: Shortness of breath during bone marrow transplantation may indicate an anaphylactic or transfusion reaction, requiring immediate intervention.
Question 4 of 5
The client with a recent liver transplant asks the nurse how long he will have to take an immunosuppressant. Which response would be correct?
Correct Answer: D
Rationale: Lifelong immunosuppression is required post-transplant to prevent organ rejection.
Question 5 of 5
The nurse enters a client's room and finds him lying on the floor. The client says to the nurse, 'I fell because I was trying to go to the bathroom and no one answered my call light.' Which of the following actions by the nurse are correct? Select all that apply.
Correct Answer: A,B,C,D,E
Rationale: All actions are appropriate: assist the client safely, assess for injuries, notify the provider, complete an incident report, and document the fall to ensure proper care and follow-up.