NCLEX-RN
NCLEX-RN Exam Practice Questions
Extract:
Question 1 of 5
The nurse is teaching a client how to perform monthly testicular self-examination (TSE) and states that it is best to perform the procedure right after showering. This statement is made by the nurse based on the knowledge that:
Correct Answer: C
Rationale: Nudity is not a trigger for reminding males to perform TSE. Testicles become more firm when exposed to cool temperatures, but not large and bulky. The testicles will be lower and more easily palpated with warmer temperatures. A protective mechanism of the body to protect sperm production is for the scrotum to pull closer to the body when exposed to cooler temperatures. The examination should not be painful.
Question 2 of 5
A client has ataxia following a cerebral vascular accident. The nurse should:
Correct Answer: A
Rationale: Ataxia post-stroke causes unsteady gait, increasing fall risk. Supervising ambulation ensures safety. Intake/output, speech therapy, and writing aids are unrelated to ataxia.
Question 3 of 5
The nurse is teaching a client with a history of allergic rhinitis about self-care. The nurse should tell the client to:
Correct Answer: A
Rationale: Avoiding allergens reduces symptoms in allergic rhinitis, such as sneezing and nasal congestion.
Question 4 of 5
A 66-year-old female client has smoked 2 packs of cigarettes per day for 20 years. Her arterial blood gases on room air are as follows: pH 7.35; PO2 70 mm Hg; PCO2 55 mm Hg; HCO3 32 mEq/L. These blood gases reflect:
Correct Answer: B
Rationale: Normal pH with elevated PCO2 and HCO3 indicates compensated respiratory acidosis, common in chronic smokers due to CO2 retention.
Question 5 of 5
A client is admitted to the postpartal unit with a large amount of lochia rubra, uterine enlargement, and excessive clots. Which medication will likely be ordered for the client?
Correct Answer: D
Rationale: Hemabate, a prostaglandin, is used to treat postpartum hemorrhage by promoting uterine contractions to control bleeding. Fentanyl and Stadol are analgesics, and Prepidil is for labor induction, not hemorrhage.