NCLEX-RN
Practice NCLEX RN Questions Questions
Extract:
Question 1 of 5
The physician has ordered continuous bladder irrigation for a client following a prostatectomy. The nurse should:
Correct Answer: A
Rationale: Hanging the solution 2-3 feet above the abdomen ensures proper flow by gravity without excessive pressure, maintaining effective irrigation.
Question 2 of 5
The nurse is caring for a client who is postoperative day 1 following a mastectomy. The client refuses to look at the surgical site or participate in wound care teaching. Which of the following actions by the nurse is MOST appropriate?
Correct Answer: A
Rationale: encouraging the client to express feelings promotes coping and addresses potential body image concerns
Question 3 of 5
The nurse is assessing a client with an altered level of consciousness. One of the first signs of altered level of consciousness is:
Correct Answer: C
Rationale: Restlessness is often an early sign of altered consciousness, indicating neurological changes before more severe symptoms appear.
Question 4 of 5
During a pre-op assessment, the nurse would chart which finding(s) as subjective data? Select all that apply.
Correct Answer: B,C,E
Rationale: Subjective data are client-reported, including statements about surgery concerns, weight loss, and pain ratings. Sweating/wringing hands and blood pressure are objective (observable/measurable).
Question 5 of 5
A 46-year-old male has been placed under therapeutic hypothermic care after a myocardial infarction (MI). The nurse correctly explains to the family,
Correct Answer: C
Rationale: Therapeutic hypothermia post-MI slows metabolism, reducing cerebral oxygen demand and protecting the brain from ischemic injury.