NCLEX-RN
RN NCLEX Practice Questions Questions
Extract:
Question 1 of 5
The rationale for inserting a French catheter every hour for the client with epidural anesthesia is:
Correct Answer: C
Rationale: Epidural anesthesia can reduce bladder sensation, necessitating frequent catheterization to prevent overdistension.
Question 2 of 5
The nurse is teaching a client on the proper technique to use an inhaler with a spacer for asthma management. Which action by the client would require intervention by the nurse?
Correct Answer: B
Rationale: Placing the inhaler over the tongue obstructs the airway; lips should seal around the mouthpiece with the tongue underneath. Other actions are correct.
Question 3 of 5
After the physician performs an amniotomy, the nurse's first action should be to assess the:
Correct Answer: B
Rationale: Post-amniotomy, assessing fetal heart tones is critical to detect potential cord prolapse or distress.
Question 4 of 5
When examining an 80-year-old client with chronic COPD receiving home health care, the nurse notes that over the previous 48 hours the client has developed scattered painful pustular lesions on the right arm near the elbow (see photo), on the back of the neck, the face, and on both legs. Which of the following does the nurse suspect is the most likely cause of the lesions?
Correct Answer: C
Rationale: Painful pustular lesions in a client with chronic illness suggest MRSA (
C), a common healthcare-associated infection. Psoriasis (
A) presents with scaly plaques, herpes zoster (
B) follows a dermatomal pattern, and contact dermatitis (
D) is typically itchy, not pustular.
Question 5 of 5
A client is to be discharged 48 hours after a normal vaginal delivery of an infant with no laceration or episiotomy. Which of the following danger signs should the client be advised to report to her physician? Select all that apply.
Correct Answer: A,B,C,E
Rationale: Postpartum danger signs include fever >38°C (
A), difficulty urinating (
B), leg swelling/redness/pain (C, indicating possible DVT), and foul-smelling discharge (E, suggesting infection). Fatigue (
D) is common and not necessarily a danger sign.