NCLEX-RN
Free NCLEX RN Practice Questions Questions
Extract:
Question 1 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 2 of 5
A client in the family planning clinic asks the nurse about the most likely time for her to conceive. The nurse explains that conception is most likely to occur when:
Correct Answer: B
Rationale: A surge in luteinizing hormone triggers ovulation, the time when conception is most likely.
Question 3 of 5
The charge nurse notices another nurse on the floor reading the chart of a client who is not under her care. When confronted, the nurse says, 'This client is my neighbor, and I'm just concerned about him.' Which is the correct response by the charge nurse?
Correct Answer: C
Rationale: Accessing a chart without a care-related purpose violates HIPAA and patient privacy, regardless of personal relationships.
Question 4 of 5
A client with Alzheimer's disease is awaiting placement in a skilled nursing facility. Which long-term plans would be most therapeutic for the client?
Correct Answer: C
Rationale: Simple signs help orient clients with Alzheimer's, reducing confusion and promoting independence in a new environment.
Question 5 of 5
The physician has prescribed Synthroid (levothyroxine) for a client with myxedema. Which statement indicates that the client understands the nurse's teaching regarding the medication?
Correct Answer: C
Rationale: Reporting visual disturbances is important, as they may indicate levothyroxine overdose or other complications, reflecting proper understanding.