NCLEX-RN
NCLEX RN Practice Exam Questions
Extract:
Question 1 of 5
The nurse is preparing a client for cervical uterine radiation implant insertion. Which will be included in the teaching plan?
Correct Answer: B
Rationale: A Foley catheter is inserted during cervical radiation implants to keep the bladder empty, reducing radiation exposure to nearby organs. The other options are incorrect or irrelevant.
Question 2 of 5
The nurse is caring for a client with a wound that presents with full-thickness tissue loss and eschar covering the wound bed. The nurse would record this wound as which stage?
Correct Answer: E
Rationale: Eschar covering the wound bed makes it unstageable, as the depth cannot be assessed until debridement.
Question 3 of 5
The nurse is caring for the patient following removal of a large posterior oral lesion. The priority nursing measure would be to:
Correct Answer: A
Rationale: Maintaining a patent airway is critical post-oral surgery due to the risk of swelling or bleeding obstructing the airway.
Question 4 of 5
A client has had diarrhea for the past 3 days. Which acid/base imbalance would the nurse expect the client to have?
Correct Answer: B
Rationale: Prolonged diarrhea leads to loss of bicarbonate, causing metabolic acidosis.
Question 5 of 5
A client with recurrent episodes of gout has been advised to eat a low-purine diet. Which of the following foods should the nurse advise him to limit or avoid? Select all that apply.
Correct Answer: A,B,E
Rationale: High-purine foods like liver (
A), sardines (
B), and beef broth (E) should be limited to reduce gout flare-ups. Wine (
C), low-fat yogurt (
D), and potatoes (F) are low in purines and generally safe.