NCLEX-RN
NCLEX RN Practice Questions Questions
Extract:
Question 1 of 5
The nurse is performing the skill of intramuscular injection by the Z track method. Which technique would the nurse utilize to prevent tracking of the medication?
Correct Answer: D
Rationale: The Z-track method involves drawing up 0.2 mL of air to create an air lock, preventing medication leakage into subcutaneous tissue. The other options don't address tracking.
Question 2 of 5
The nurse is performing discharge instruction for a client with an implantable permanent pacemaker. What discharge instruction is an essential part of the plan?
Correct Answer: C
Rationale: Clients with pacemakers must monitor their pulse to ensure the device is functioning correctly and to detect irregularities, making pulse-taking an essential discharge instruction.
Question 3 of 5
The nurse is teaching a new breastfeeding mother about breast care, but the mother has engorgement and asks if she should quit breastfeeding. Which information should the nurse include? Select all that apply.
Correct Answer: A,B,D,E
Rationale: Continue nursing (
A), massaging breasts (
B), using pain relievers (
D), and noting engorgement resolution in 24-48 hours (E) manage engorgement. Hot compresses (
C) may worsen swelling.
Question 4 of 5
The client is admitted to the unit. A vaginal exam reveals that she is 3cm dilated. Which of the following statements would the nurse expect her to make?
Correct Answer: D
Rationale: At 3 cm dilation (early labor), clients often inquire about pain relief options like an epidural.
Question 5 of 5
The obstetrical client decides to have an epidural anesthetic to relieve pain during labor. Following administration of the anesthesia, the nurse should monitor the client for:
Correct Answer: C
Rationale: Epidural anesthesia can cause respiratory depression, requiring close monitoring to ensure patient safety.