NCLEX-RN
Practice NCLEX RN Questions Questions
Extract:
Question 1 of 5
When caring for the child with autistic disorder, the nurse should:
Correct Answer: B
Rationale: A consistent caregiver provides stability and reduces anxiety in a child with autism.
Question 2 of 5
The nurse is giving an end-of-shift report when a client with a chest tube is noted in the hallway with the tube disconnected. What is the most appropriate action?
Correct Answer: B
Rationale: A disconnected chest tube risks air entering the pleural space, causing pneumothorax. Placing the end in sterile saline creates a water seal, preventing air entry until reconnection.
Question 3 of 5
During which stage of injury repair does the wound show evidence of erythema and edema, and phagocytosis begins?
Correct Answer: B
Rationale: The inflammation stage (
B) involves erythema, edema, and phagocytosis as the body responds to injury. Other stages (A, C,
D) have different processes.
Question 4 of 5
A mother asks the home health nurse for guidance on what foods are safe to give her child, who is on strict neutropenic precautions. The nurse looks at the mother's grocery list and advises her to avoid
Correct Answer: C
Rationale: Neutropenic precautions require avoiding fresh, unprocessed foods (e.g., fresh veggies) due to bacterial risk. Canned, pasteurized, or peeled foods are safer.
Question 5 of 5
The nurse caring for the child with a large meningomylocele is aware that the priority care for this client is to:
Correct Answer: A
Rationale: Moist, sterile gauze prevents infection and drying of the meningomyelocele defect.