NCLEX-RN
NCLEX RN Practice Questions Quizlet Questions
Extract:
Question 1 of 5
The nurse is caring for a client with a closed head injury. Fluid is assessed leaking from the ear. The nurse's first action will be to:
Correct Answer: C
Rationale: Fluid leaking from the ear may indicate cerebrospinal fluid (CSF) leakage, a serious complication. Testing for glucose (positive in CSF) is the first step to confirm the nature of the drainage.
Question 2 of 5
A nurse is working at a summer camp for teenagers. Before the camp hiking trip, the nurse creates a presentation about how to prevent Lyme disease. The nurse would include which of the following in the presentation? Select all that apply.
Correct Answer: C,E
Rationale: DEET repellent and tucking pants into socks prevent tick bites. Dark colors attract ticks, rinsing clothes is insufficient, and petroleum jelly is ineffective for tick removal.
Question 3 of 5
The nurse is to administer a cleansing enema to a client scheduled for colon surgery. Which client position would be appropriate?
Correct Answer: C
Rationale: The left Sim's position allows the enema solution to flow into the sigmoid colon by gravity, facilitating effective cleansing.
Question 4 of 5
The nurse is suctioning the tracheostomy of an adult client. The recommended pressure setting for performing tracheostomy suctioning on the adult client is:
Correct Answer: C
Rationale: The recommended suction pressure for adult tracheostomy is 80-120 mmHg to effectively remove secretions without causing trauma.
Question 5 of 5
A client has been diagnosed with pernicious anemia. What breakfast should the nurse suggest to increase dietary B12?
Correct Answer: D
Rationale: Pernicious anemia requires dietary B12 (found in eggs, meat, milk). Other options lack significant B12.