NCLEX-RN
NCLEX RN Practice Questions
Extract:
Question 1 of 5
The nurse is educating a couple about permanent methods of birth control. Vasectomy for the male is discussed. The nurse explains that which organ is cut or sealed off to prevent sperm from entering semen?
Correct Answer: C
Rationale: The **vas deferens** is cut or sealed during a vasectomy to prevent sperm from entering semen, ensuring sterility.
Question 2 of 5
A client has had a central catheter inserted for administration of parenteral nutrition. An X-ray was taken to ensure correct positioning prior to commencing infusions. The X-ray report indicates that the catheter tip is in the right atrium. Which of the following actions by the nurse is correct?
Correct Answer: A
Rationale: Catheter tip in the right atrium is too far; infusion should be held and the MD notified (
A) for repositioning. Adjusting the catheter (B,
D) or starting infusion (
C) is unsafe.
Question 3 of 5
The physician has ordered a histoplasmosis test for the elderly client. The nurse is aware that histoplasmosis is transmitted to humans by:
Correct Answer: D
Rationale: Histoplasmosis is a fungal infection transmitted through inhalation of spores from bird or bat droppings.
Question 4 of 5
The client with an abdominal aortic aneurysm is admitted in preparation for surgery. Which of the following should be reported to the doctor?
Correct Answer: A
Rationale: An elevated white blood cell count may indicate infection or inflammation, which requires prompt reporting before surgery.
Question 5 of 5
A client in the recovery ICU is on mechanical ventilation. The nurse notices the client has frothy secretions around his mouth, and the nurse hears adventitious breath sounds with the stethoscope. The nurse should
Correct Answer: B
Rationale: Frothy secretions and adventitious sounds suggest airway obstruction or pulmonary edema. Suctioning clears the endotracheal tube, improving ventilation.