NCLEX-RN
NCLEX RN Practice Questions Quizlet Questions
Extract:
Question 1 of 5
The nurse is to administer a cleansing enema to a client scheduled for colon surgery. Which client position would be appropriate?
Correct Answer: C
Rationale: The left Sim's position allows the enema solution to flow into the sigmoid colon by gravity, facilitating effective cleansing.
Question 2 of 5
The nurse is caring for a client following a transphenoidal hypophysectomy. Post-operatively, the nurse should:
Correct Answer: B
Rationale: The halo sign on the nasal dressing indicates cerebrospinal fluid leakage, a critical post-operative complication.
Question 3 of 5
The unit manager believes that each member of the care team should have input regarding unit goals and problem solving techniques. The manager is concerned for each individual member and serves primarily as a resource person for the unit. The unit nurse understands that this style of leadership is which of the following?
Correct Answer: C
Rationale: Democratic leadership involves team input and resource support, aligning with the manager’s described style.
Question 4 of 5
A client is to wear a Holter monitor for continuous cardiac monitoring for 48 hours. The nurse should advise the client to avoid which of the following activities during the monitoring period? Select all that apply.
Correct Answer: C,D
Rationale: Holter monitors can be affected by electromagnetic interference from wireless devices like iPads (
C), so these should be avoided. Showering and bathing (
D) can damage the monitor or electrodes. Watching TV (
A), using a remote control (
B), drinking caffeine (E), and exercising (F) typically do not interfere with monitoring, though exercise should be noted in the activity log.
Question 5 of 5
The nurse is performing a physical assessment on a newly admitted client. The last step in the physical assessment is:
Correct Answer: D
Rationale: Palpation is the last step in a physical assessment, following inspection, auscultation, and percussion, to avoid altering findings with touch.