NCLEX-RN
NCLEX RN Practice Questions Questions
Extract:
Question 1 of 5
The nurse is monitoring a client following a lung resection. The hourly output from the chest tube was 300 mL. The nurse should give priority to:
Correct Answer: D
Rationale: A chest tube output of 300 mL per hour is excessive and may indicate hemorrhage, requiring immediate physician notification.
Question 2 of 5
An elderly client is returned to her room after an open reduction and internal fixation of the left femoral head after a fracture. It is MOST important for the nursing care plan to include that the client
Correct Answer: D
Rationale: prevents respiratory complications due to immobility following surgery
Question 3 of 5
A client with heart failure has been prescribed the DASH diet (dietary approaches to stop hypertension) and must limit sodium intake to 2300 mg per day. Which of the following statements by the client indicates a need for further education?
Correct Answer: A
Rationale: Stopping added salt (
A) is insufficient; the DASH diet requires limiting processed foods and monitoring total sodium. Dairy (
B), vegetables/fruits (
C), and meat limits (
D) are correct.
Question 4 of 5
A client has had a long leg cast removed after eight weeks. Which of the following actions is the correct method of cleansing the skin after cast removal?
Correct Answer: B
Rationale: Soaking in a tub and washing with a washcloth (
B) gently removes dead skin and debris without irritation. A bath brush (
A) or hot water (
D) may be too harsh, and enzyme wash (
C) is unnecessary.
Question 5 of 5
The nurse is educating a client about lifestyle modifications to manage hypertension. Which of the following modifications should the nurse recommend? Select all that apply.
Correct Answer: B,C,D,F
Rationale: Hypertension management includes regular aerobic exercise (
B), the DASH diet (
C), weight loss (
D), and smoking cessation (F). Limiting fluids (
A) is not standard, and moderate alcohol (E) is acceptable.