NCLEX-RN
NCLEX-RN Exam Practice Questions
Extract:
Question 1 of 5
The nurse is caring for a client with a history of a pneumothorax who has a chest tube. The nurse should:
Correct Answer: D
Rationale: Subcutaneous emphysema (air under the skin) indicates chest tube malfunction or air leak, requiring monitoring. Clamping, raising the system, and stripping are contraindicated.
Question 2 of 5
A 50-year-old depressed client has recently lost his job. He has been reluctant to leave his hospital room. Nursing care would include:
Correct Answer: C
Rationale: The client should be encouraged to attend the unit activities. The nurse and client should choose a few activities for the client to attend that will be positive experiences for him. The nurse should encourage the client to discuss his feelings and to begin to deal with the depression. Depressed persons often have little appetite and poor fluid intake. Constipation is common. A calm, consistent level of stimuli is most effective. Sensory deprivation and overstimulation should be avoided.
Question 3 of 5
The initial treatment for a client with a liquid chemical burn injury is to:
Correct Answer: B
Rationale: The use of large amounts of water to flush the area is recommended for chemical burns to dilute and remove the chemical. Neutralizing solutions may extend the burn, calcium chloride is not indicated, and lanolin is not beneficial initially.
Question 4 of 5
The nurse is assigning staff to care for a number of clients with emotional disorders. Which facet of care is suitable to the skills of the nursing assistant?
Correct Answer: B
Rationale: Providing routine catheter care is within the scope of a nursing assistant, as it involves basic hygiene tasks, unlike the other options, which require advanced assessment or monitoring.
Question 5 of 5
A client has been diagnosed with congestive heart failure. His fluid intake and output are strictly regulated. For lunch, he drank 8 oz of milk, 4 oz of tea, and 6 oz of coffee. His intake would be recorded as:
Correct Answer: B
Rationale: 1 oz = 30 mL; therefore, 18 oz = 540 mL.