NCLEX Practice Questions

A client suffered from a lower leg injury and seeks treatment in the emergency room. There is a prominent deformity to the lower aspect of the leg, and the injured leg appears shorter than the other leg. The affected leg is painful, swollen and beginning to become ecchymotic. The nurse interprets that the client is experiencing: A. Fracture B. Strain C. Sprain D. Contusion

A. Fracture

A client has 15% blood loss. Which of the following nursing assessment findings indicates hypovolemic shock? A. Systolic blood pressure less than 90mm Hg B. Pupils unequally dilated C. Respiratory rate of 4 breath/min D. Pulse rate less than 60 bpm

A. Systolic blood pressure less than 90mm Hg

George, who has undergone thoracic surgery has a chest tube connected to a water-seal drainage system attached to suction. Presence of excessive bubbling is identified in the water-seal chamber, the nurse should: A. "Strip" the chest tube catheter B. Check the system for air leaks C. Recognize the system is functioning correctly D. Decrease the amount of suction pressure

B. Check the system for air leaks

Which of the following statements should the nurse teach the neutropenic client and his family to avoid? A. Performing oral hygiene after every meal B. Using suppositories or enemas C. Performing perineal hygiene after each bowel movement D. Using a filter mask

B. Using suppositories or enemas

John suddenly experiences a seizure, and Nurse Gina notices that John exhibits uncontrollable jerking movements. Nurse Gina documents that John experienced which type of seizure? A. Tonic seizure B. Absence seizure C. Myoclonic seizure D. Clonic seizure

C. Myoclonic seizure

Which nursing intervention ensures adequate ventilating exchange after surgery? A. Remove the airway only when the client is fully conscious B. Assess for hypoventilation by auscultating the lungs C. Position client laterally with the neck extended D. Maintain humidified oxygen via nasal cannula

C. Position client laterally with the neck extended

A female client is experiencing a painful and rigid abdomen and is diagnosed with a perforated peptic ulcer. A surgery has been scheduled and a nasogastric tube is inserted. The nurse should place the client before surgery in: A. Sims position B. Supine position C. Semi-fowlers position D. Dorsal recumbent position

C. Semi-fowlers position

Ryan has undergone a subtotal gastrectomy. The nurse should expect that nasogastric tube drainage will be what color for about 12 to 24 hours after surgery? A. Bile green B. Bright red C. Cloudy white D. Dark brown

D. Dark brown

Nurse Lilly has been assigned to a client with Raynaud's disease. Nurse Lilly realizes that the etiology of the disease is unknown but it is characterized by: A. Episodic vasospastic disorder of capillaries B. Episodic vasospastic disorder of small veins C. Episodic vasospastic disorder of the aorta D. Episodic vasospastic disorder of the small arteries

D. Episodic vasospastic disorder of the small arteries

The client asks Nurse Annie the causes of peptic ulcer. Nurse Annie responds that recent research indicates that peptic ulcers are the result of which of the following: A. Genetic defect in gastric mucosa B. Stress C. Diet high in fat D. Helicobacter pylori infection

D. Helicobacter pylori infection