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 knows the best intervention for preventing a postoperative infection is
Correct Answer: D
Rationale: Hand hygiene is the most effective intervention to prevent postoperative infections, reducing pathogen transmission.
Question 3 of 5
The nurse is caring for a new mother. The mother asks why her baby has lost weight since he was born. The best explanation of the weight loss is:
Correct Answer: D
Rationale: A weight loss of up to 10% in the first week is normal due to the passage of meconium and adjustment to feeding.
Question 4 of 5
The nurse is caring for a client with a closed head injury. Fluid is assessed leaking from the ear. The nurse's first action will be to:
Correct Answer: C
Rationale: Fluid leaking from the ear may indicate cerebrospinal fluid (CSF) leakage, a serious complication. Testing for glucose (positive in CSF) is the first step to confirm the nature of the drainage.
Question 5 of 5
The nurse is caring for a client who is intubated and on the ventilator. The client is alert but cannot talk while intubated. Which method of communication would be the best choice for this client?
Correct Answer: B
Rationale: A picture board allows clear, non-verbal communication for an alert, intubated client, minimizing misinterpretation compared to writing, mouthing, or blinking.