NCLEX-RN
NCLEX RN Practice Questions Questions
Extract:
Question 1 of 5
The physician has ordered that a client recovering from back surgery be logrolled. The client has a draw sheet in place, and the nurse and an assistant are positioned with one on each side of the bed. Place the steps to logrolling (Roman numerals) in the correct sequence from first to last.
Correct Answer: D,B,A,C
Rationale: Logrolling sequence: Cross arms (IV) to secure them, place pillow between knees (II) for alignment, roll patient (I), then place pillows along back (III) for support.
Question 2 of 5
A client with pancreatitis has been transferred to the intensive care unit. Which order would the nurse anticipate?
Correct Answer: B
Rationale: Pancreatitis can cause nausea and vomiting, and a Levine tube (nasogastric tube) is often used to decompress the stomach and prevent aspiration, which is a priority in the ICU setting.
Question 3 of 5
The nurse is preparing an adult male for a transurethral resection of the prostate (TURP). Which statement by the client indicates a need for further teaching by the nurse?
Correct Answer: C
Rationale: TURP is performed transurethrally, so no external incision or dressing is needed. Other statements are correct.
Question 4 of 5
The physician has prescribed Nexium (esomeprazole) for a client with erosive gastritis. The nurse should administer the medication:
Correct Answer: A
Rationale: Esomeprazole is most effective when taken 30 minutes before a meal to reduce acid production during digestion.
Question 5 of 5
The nurse is performing discharge instruction for a client with an implantable permanent pacemaker. What discharge instruction is an essential part of the plan?
Correct Answer: C
Rationale: Clients with pacemakers must monitor their pulse to ensure the device is functioning correctly and to detect irregularities, making pulse-taking an essential discharge instruction.