NCLEX-RN
NCLEX RN Practice Test Questions
Extract:
Question 1 of 5
The nurse is preparing a 73-year-old client for cataract surgery on the left eye. Which statement by the client indicates a need for further teaching?
Correct Answer: C
Rationale: Stopping Coumadin without medical guidance is unsafe, as it may increase clotting risk, indicating a need for further teaching.
Question 2 of 5
A client is admitted to the unit 2 hours after an explosion causes burns to the face. The nurse would be most concerned with the client developing which of the following?
Correct Answer: B
Rationale: Facial burns increase the risk of laryngeal edema due to inhalation injury, which can compromise the airway and is the most immediate concern.
Question 3 of 5
A nurse is planning care for a client with human immunodeficiency virus. The nurse knows to wear gloves under the following circumstance(s). Select all that apply.
Correct Answer: A, C, D
Rationale: Gloves are required for contact with open wounds, starting an IV, or drawing blood due to potential exposure to blood or body fluids, per standard precautions. Gloves are not needed for all contact.
Question 4 of 5
The nurse understands that the diagnosis of oral cancer is confirmed with:
Correct Answer: A
Rationale: A biopsy provides definitive histological evidence of oral cancer, confirming the diagnosis.
Question 5 of 5
A client has accidentally splashed a toxic (although not caustic) substance in his right eye and the nurse must flush the eye. Which of the following steps are correct? Select all that apply.
Correct Answer: B,C,D,E
Rationale: Correct eye irrigation includes syringe 0.5 inch above eye (
B), flushing 5 minutes (
C), holding eyelid open (
D), and using a basin (E). Head down (
A) is incorrect; tilt toward affected side.