NCLEX-RN
NCLEX RN Practice Test Questions
Extract:
Question 1 of 5
The nurse is caring for a client with marked clubbing of the fingers and toes. The nurse understands which to be true regarding clubbing? Select all that apply.
Correct Answer: A,C,E,F
Rationale: Clubbing is permanent, associated with sickle cell disease, right-sided heart failure, and congenital heart defects due to chronic hypoxia. Dialysis and acute oxygen deprivation are not typical causes.
Question 2 of 5
A client arrives from surgery following an abdominal perineal resection with a permanent ileostomy. What should be the priority nursing care during the post-op period?
Correct Answer: D
Rationale: Facilitating perineal wound drainage is the priority to prevent infection and promote healing in the immediate postoperative period, as the perineal wound is at high risk for complications.
Question 3 of 5
A nurse receives an order to dilute ceftriaxone sodium powder in a vial prior to administration. The nurse should ensure the powder is fully diluted by
Correct Answer: B
Rationale: Rolling the vial between the palms gently mixes the powder with the diluent, ensuring full dilution without creating air bubbles or denaturing the medication.
Question 4 of 5
The nurse working in an outpatient clinic has the opportunity to teach a client recently diagnosed with irritable bowel syndrome (IBS). Which of the following topics would be most appropriate for the nurse to include? Select all that apply.
Correct Answer: B, D
Rationale: Stress reduction techniques and daily probiotics can help manage IBS symptoms, while limiting fluids is not recommended, and iced tea may exacerbate symptoms due to caffeine.
Question 5 of 5
The physician's notes state that a client with cocaine addiction has formication. The nurse recognizes that the client has:
Correct Answer: A
Rationale: Formication is a tactile hallucination, often described as feeling bugs crawling on the skin, commonly associated with cocaine use.