NCLEX-RN
NCLEX RN Exam Prep Questions
Extract:
Question 1 of 5
Which of the following is part of client teaching regarding antiembolism stockings?
Correct Answer: D
Rationale: When educating clients about antiembolism stockings, it is essential to emphasize that the stockings should be smooth from end to end without wrinkles. Wrinkles in the stockings can impede circulation, defeating the purpose of wearing them to prevent blood clot formation. Instructing the client to roll the top portion of the stocking down if it is too long (
Choice
A) is incorrect as it can create unnecessary pressure points. Stockings should be applied with the toes covered at the end (
Choice
B) to ensure proper compression. Measuring for thigh-high stockings should be done from the knee to the foot (
Choice
C) to ensure the correct fit and compression gradient.
Question 2 of 5
The nurse should wash from the ________________________ when washing a patient's eye area.
Correct Answer: B
Rationale: When washing a patient's eye area, it is important to start from the inner canthus (closest to the nose) and move towards the outer canthus. This direction prevents any contaminants or debris from the outer area of the eye from moving towards the inner, more sensitive area.
Choices C and D are incorrect as they pertain to the nasal passages (nares), which are not relevant when washing the eye area.
Question 3 of 5
Which of the following statements best describes footdrop?
Correct Answer: B
Rationale: Footdrop results in the foot becoming permanently fixed in a plantar flexion position, not dorsiflexion. This position points the toes downward. The client may be unable to put weight on the foot, making ambulation difficult. Footdrop can be caused by immobility or chronic illnesses that cause muscle changes, such as multiple sclerosis or Parkinson's disease.
Choice A is incorrect because footdrop leads to plantar flexion, not dorsiflexion.
Choice C is incorrect as it describes a different condition known as 'toe fanning.'
Choice D is incorrect as it describes an external rotation of the heel, which is not a characteristic of footdrop.
Question 4 of 5
You are working the 8 am to 4 pm shift. You begin to vomit at 3 pm and you do not think that you are able to continue working. You decide to immediately go home without notifying your RN supervisor. You have ________________.
Correct Answer: D
Rationale: Patient abandonment is a serious violation that can lead to disciplinary action and immediate termination of employment. It is defined as leaving patients without proper consent from the supervisor. In this scenario, leaving work without notifying the RN supervisor and potentially leaving patients unattended is considered patient abandonment, as it compromises patient safety and care.
Choices A and B are incorrect because having sick time or finishing work does not justify leaving without proper protocol.
Choice D is incorrect as the scenario does not indicate abuse or neglect towards the patients.
Question 5 of 5
What does preload refer to?
Correct Answer: B
Rationale: Preload refers to the volume of blood that enters the right side of the heart. This volume stretches the fibers in the heart before contraction. Preload is an essential factor in determining the force of ventricular contraction.
Choices A, C, and D are incorrect.
Choice A is incorrect because preload is specifically related to the volume of blood entering the right side of the heart.
Choices C and D are incorrect as they refer to afterload, which is the pressure that the heart must overcome to pump blood out of the ventricles into the systemic or pulmonary circulation.