NCLEX-RN
NCLEX RN Practice Questions
Extract:
Question 1 of 5
The nurse is instructing a client who has had an eye removed in the proper procedure for inserting a prosthetic eye. Place the following steps of prosthetic-eye insertion (in Roman numerals) in the correct sequence from the first to the last.
Correct Answer: F,D,A,B,C,E
Rationale: The correct sequence for inserting a prosthetic eye is: Cleanse the prosthetic eye (VI), identify landmarks (IV), raise the upper eyelid (I), pull the lower eyelid down (II), slide the prosthesis under the upper eyelid (III), and check positioning (V). This ensures proper hygiene and alignment.
Question 2 of 5
A client who had major abdominal surgery is having delayed healing of the wound. Which laboratory test result would most closely correlate with this problem?
Correct Answer: A
Rationale: Low albumin indicates poor nutritional status, impairing protein synthesis needed for wound healing, directly correlating with delayed healing.
Question 3 of 5
The mother of a 1-year-old wants to know when she should begin toilettraining her child. The nurse's response is based on the knowledge that sufficient sphincter control for toilet training is present by:
Correct Answer: B
Rationale: Sufficient sphincter control for toilet training typically develops between 18-24 months, when children gain the physical and cognitive readiness for training.
Question 4 of 5
Which client should be assigned to the nursing assistant?
Correct Answer: C
Rationale: The elderly client with a thyroidectomy 4 days ago is stable and suitable for routine care by a nursing assistant.
Question 5 of 5
The nurse is reviewing labs on a client receiving IV heparin and notes an INR of 4.6. Which order by the health care provider does the nurse anticipate?
Correct Answer: B
Rationale: Protamine sulfate is the antidote for heparin overdose, appropriate for an elevated INR indicating excessive anticoagulation.