NCLEX-RN
NCLEX RN Practice Questions with Answers Questions
Extract:
Question 1 of 5
When performing chest percussion on a child, which of the following techniques should the nurse use?
Correct Answer: A
Rationale: Chest percussion involves firmly but gently striking the chest to produce a popping sound, mobilizing secretions without causing harm.
Question 2 of 5
The nurse assesses a 7-month-old infant's growth and development. Which behavior should the nurse consider unusual?
Correct Answer: A
Rationale: Drinking from a cup with minimal spilling is advanced for a 7-month-old, who typically lacks such fine motor control.
Question 3 of 5
The nurse is preparing to suction a tracheostomy for a client with methicillin resistant staphylococcus aureus (MRSA) (see fi gure). The nurse should:
Correct Answer: D
Rationale: The nurse is wearing protective personnel equipment appropriately for suctioning the client: goggles, gown and respirator mask. It is not necessary to wear a powered air purifying respirator face shield to suction a tracheostomy. A surgical mask does not provide maximum protection.
Question 4 of 5
A client with a history of heart failure is prescribed enalapril (Vasotec). The nurse should monitor the client for which of the following adverse effects?
Correct Answer: A, B
Rationale: Enalapril, an ACE inhibitor, can cause hyperkalemia and hypotension.
Question 5 of 5
A client with a diagnosis of rheumatoid arthritis is prescribed etanercept (Enbrel). The nurse should monitor the client for which of the following side effects?
Correct Answer: A
Rationale: Etanercept, a TNF inhibitor, increases the risk of infections due to immune suppression.