NCLEX-RN
NCLEX RN Practice Questions
Extract:
Question 1 of 5
The orthopedic nurse should be particularly alert for a fat embolus in which of the following clients having the greatest risk for this complication after a fracture?
Correct Answer: C
Rationale: Fat embolism is most common in long bone fractures, especially the femur, and in young adults. A 21-year-old with a femur fracture is at highest risk.
Question 2 of 5
The nurse is caring for a client who is receiving chemotherapy for leukemia. The client’s latest laboratory results show a white blood cell count of 2,000/mm³. Which of the following nursing actions is the HIGHEST priority?
Correct Answer: C
Rationale: a white blood cell count of 2,000/mm³ indicates neutropenia, and initiating neutropenic precautions is the priority to prevent infection
Question 3 of 5
An older client says that she frequently experiences stress incontinence and may have to stop playing golf because swinging the golf club often results in small amounts of urinary incontinence. Which of the following suggestions may be most effective?
Correct Answer: B
Rationale: The 'knack' (
B), contracting pelvic floor muscles before swinging, can prevent stress incontinence. Deep breathing (
A) is ineffective, pads (
C) manage but don't prevent, and urinating beforehand (
D) is less effective.
Question 4 of 5
During the initial interview, the client reports that she has a lesion on the perineum. Further investigation reveals a small blister on the vulva that is painful to touch. The nurse is aware that the most likely source of the lesion is:
Correct Answer: B
Rationale: A painful blister on the vulva is most consistent with genital herpes, caused by the herpes simplex virus.
Question 5 of 5
A client is scheduled for a hypophysectomy following the discovery of a pituitary gland tumor. The nurse is teaching the client about the procedure. Which statement by the client indicates effective learning? Select all that apply.
Correct Answer: A, C, D, E
Rationale: Soft toothbrushing, avoiding bending, not blowing the nose, and mouth breathing due to nasal packing are correct post-hypophysectomy instructions. The nasal pad should not be removed the next morning without orders.