NCLEX-RN
NCLEX RN Practice Test Questions
Extract:
Question 1 of 5
The nurse is working with mothers and newborns. When educating a new mother about security measures to protect her infant, which of the following should the nurse include?
Correct Answer: C
Rationale: Notifying the nurse about anyone removing the infant (
C) enhances security. Unattended time (
A), hospital attire (
B), or ID alone (
D) are not sufficient safeguards.
Question 2 of 5
A client with a C4 spinal cord injury has been placed in traction with cervical tongs. Nursing care should include:
Correct Answer: D
Rationale: Sterile pin care is essential to prevent infection at the site of cervical tongs, while altering traction or bed position could compromise spinal alignment.
Question 3 of 5
The nurse is teaching a client with chronic obstructive pulmonary disease (COPD) about energy conservation techniques. Which of the following statements by the client indicates understanding?
Correct Answer: B
Rationale: pacing activities and resting as needed conserves energy and reduces fatigue in COPD
Question 4 of 5
A client with a peptic ulcer had a partial gastrectomy and vagotomy (Billroth I). In planning the discharge teaching, the client should be cautioned by the nurse about which of the following?
Correct Answer: D
Rationale: basic guidelines to teach a postgastrectomy client are measures to prevent dumping syndrome, which include: lying down for 30 minutes after meals, drinking fluids between meals, and reducing intake of carbohydrates
Question 5 of 5
A client with a total knee replacement has a CPM (continuous passive motion device) applied during the post-operative period. Which statement made by the nurse indicates understanding of the CPM machine?
Correct Answer: C
Rationale: Pain during CPM use may indicate improper settings or complications, requiring physician notification.