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NCLEX RN Practice Test Questions

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Question 1 of 5

The nurse is caring for a client with Crohn's disease. How should the nurse educate the client regarding nutrition and hydration?

Correct Answer: C

Rationale: High-calorie, low-fiber, high-protein, and high-vitamin foods support nutrition in Crohn’s disease while minimizing irritation to the inflamed bowel.

Question 2 of 5

A client is to be discharged with a tracheostomy. Which of the following should the nurse most stress when educating the client about home management? Select all that apply.

Correct Answer: B,D

Rationale: Pulmonary hygiene (
B) and tracheostomy care (
D) are critical to prevent infections and maintain airway patency. Bowel care (
A), supplements (
C), and exercise (E) are secondary.

Question 3 of 5

A young adult who was in a motorcycle accident is brought to the emergency room with a closed head injury with suspected subdural hematoma. Although the client complains of a severe headache, he is alert and answers questions appropriately. The nurse would question which of the following orders?

Correct Answer: B

Rationale: narcotic analgesic, causes CNS and respiratory depression, contraindicated in head injury because it masks signs of increased intracranial pressure

Question 4 of 5

The nurse is teaching safe client handling techniques to a group of student nurses. Which action by a student nurse would require intervention?

Correct Answer: C

Rationale: Placing the bed supine is unsafe for moving a client up, as slight elevation (e.g., Trendelenburg) aids safety. Other actions are correct.

Question 5 of 5

A client in Dunlop traction experiences numbness of the thumb and index finger and cannot move the thumb to touch the tips of the other fingers. The capillary refill time is four seconds. Which of the following actions is indicated?

Correct Answer: A

Rationale: Numbness, impaired thumb movement, and delayed capillary refill suggest compression from a tight elastic bandage. Removing and reapplying it loosely (
A) addresses this. Adjusting weights (B,
D) or countertraction (
C) does not address the symptoms.

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