Questions 150

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NCLEX RN Practice Questions with Answers Questions

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Question 1 of 5

You are caring for a postoperative client who is complaining of abdominal distention and flatus. Which intervention would you most likely do for this client?

Correct Answer: C

Rationale: A return-flow enema is used to relieve gas and distention by introducing and withdrawing fluid to stimulate gas expulsion.

Question 2 of 5

The nurse is caring for a client with a tracheostomy. Which of the following interventions should be included in the plan of care? Select all that apply.

Correct Answer: A, B, C, D

Rationale: Suctioning, cleaning the cannula, changing ties, and monitoring for skin breakdown are essential for tracheostomy care. Cuffed tubes are used in specific cases.

Question 3 of 5

A nurse is relieving the triage nurse in the labor and delivery unit who is going to lunch. The report indicates that there are three clients having their vital signs assessed and a fourth client is on her way to the unit from the emergency department. In which order of priority should the nurse manage these clients?

Order the Items

Source Container

The client with clear vesicles and brown vaginal discharge at 16 weeks' gestation.
The client with right lower quadrant pain at 10 weeks' gestation.
The client who is at term and has had no fetal movement for 2 days.
The client from the emergency department at term and screaming loudly because of labor contractions.

Correct Answer: C,D,A,B

Rationale: The client with no fetal movement at term is the highest priority due to the risk of fetal distress. The client in active labor requires immediate attention. Vesicles and discharge suggest possible infection, and right lower quadrant pain may indicate ectopic pregnancy, both serious but less urgent.

Question 4 of 5

Select the arterial blood gas that you would report to the client's physician because it is not within normal parameters and it is also a significant change for the client.

Correct Answer: A

Rationale: PaO2 of 65 mm Hg is below the normal range (75-100 mm Hg), indicating hypoxemia, which requires reporting.

Question 5 of 5

A 38-year-old client with a history of type 1 diabetes mellitus is admitted with an infected foot ulcer. The nurse should recognize that wound healing may be delayed because of:

Correct Answer: B

Rationale: In diabetes, impaired collagen synthesis due to poor glycemic control delays wound healing, increasing infection risk.

Similar Questions

During the admission interview, an adult client reveals that, as a child, she was sexually abused by her uncle and a male cousin. She reports that she cuts the skin of her arms, legs, and abdomen. In addition to having the client sign a no-harm contract, which nursing intervention is most important?
The nurse obtains a finger-stick glucose of 400 mg/dL (22.85 mmol/L) for a client who receives total parenteral nutrition (TPN). Which follow-up intervention should the nurse implement?
Which of these clients is at greatest risk for falls?
During a home visit to a primiparous client 1 week postpartum who is bottle-feeding her neonate, the clientiant tells the nurse that her mother has suggested that she feed the neonate cereal so he will sleep through the night. Which of the following would be the nurse's best response?
A client with a diagnosis of multiple sclerosis is prescribed baclofen (Lioresal). The nurse should monitor the client for which of the following side effects?

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