Nclex Nursing Practice Quiz 15 Item Answer and Rationale

Nclex Nursing Practice Quiz 15 Item Answer and Rationale

National Council Licensure Examination

NCLEX (National Council Licensure Examination) is an examination for the licensing of nurses in the United States.

There are two types, the NCLEX-RN and the NCLEX-PN. The NCLEX exam is taken after an individual graduates from a school of nursing, in order to receive his or her nursing license.

A nursing license gives an individual the permission to practice nursing, granted by the state he or she has met the requirements for NCLEX-PN and NCLEX RN.

Question #1: Nurse Liza is assigned to care for a client who has returned to the nursing unit after left nephrectomy. Nurse Liza’s highest priority would be…

Option 1: After nephrectomy, it is necessary to measure urine output hourly. This is done to assess the effectiveness of the remaining kidney also to detect renal failure early.

Question #2: Which of the following symptoms during the icteric phase of viral hepatitis should the nurse expect the client to inhibit?

Option 2: Liver inflammation and obstruction block the normal flow of bile. Excess bilirubin turns the skin and sclera yellow and the urine dark and frothy.

Question #3: A client who has been diagnosed with hypertension is being taught to restrict intake of sodium. The nurse would know that the teachings are effective if the client states that

Option 3: Wheat cereal has a low sodium content.

Question #4: George who has undergone thoracic surgery has chest tube connected to a water-seal drainage system attached to suction. Presence of excessive bubbling is identified in water-seal chamber, the nurse should…

Option 2: Excessive bubbling indicates an air leak which must be eliminated to permit lung expansion.

Question #5: Which of the following statements should the nurse teach the neutropenic client and his family to avoid?

Option 2: Neutropenic client is at risk for infection especially bacterial infection of the gastrointestinal and respiratory tract.

Question #6: A client who has undergone a cholecystectomy asks the nurse whether there are any dietary restrictions that must be followed. Nurse Hilary would recognize that the dietary teaching was well understood when the client tells a family member that:

Option 4: It may take 4 to 6 months to eat anything, but most people can eat anything they want.

Question #7: 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

Option 4: Raynaud’s disease is characterized by vasospasms of the small cutaneous arteries that involves fingers and toes.

Question #8: Jerry has diagnosed with appendicitis. He develops a fever, hypotension, and tachycardia. The nurse suspects which of the following complications?

Option 2: Complications of acute appendicitis are peritonitis, perforation and abscess development

Question #9: Nurse Jamie should explain to male client with diabetes that self-monitoring of blood glucose is preferred to urine glucose testing because…

Option 1: Urine testing provides an indirect measure that maybe influenced by kidney function while blood glucose testing is a more direct and accurate measure.

Question #10: 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:

Option 1: Common signs and symptoms of fracture include pain, deformity, shortening of the extremity, crepitus and swelling.

Question #11: Nurse Lucy is planning to give preoperative teaching to a client who will be undergoing rhinoplasty. Which of the following should be included?

Option 4: Aspirin-containing medications should not be taken 14 days before surgery to decrease the risk of bleeding.

Question #12: Mrs. Chua a 78-year-old client is admitted with the diagnosis of mild chronic heart failure. The nurse expects to hear when listening to client’s lungs indicative of chronic heart failure would be:

Option 2: Left-sided heart failure causes fluid accumulation in the capillary network of the lung. Fluid eventually enters alveolar spaces and causes crackling sounds at the end of inspiration.

Question #13: A 64-year-old male client with a long history of cardiovascular problem including hypertension and angina is to be scheduled for cardiac catheterization. During pre-cardiac catheterization teaching, Nurse Cherry should inform the client that the primary purpose of the procedure is…

Option 2: The lumen of the arteries can be assessed by cardiac catheterization. Angina is usually caused by narrowing of the coronary arteries.

Question #14: Which nursing intervention ensures adequate ventilating exchange after surgery?

Option 3: Positioning the client laterally with the neck extended does not obstruct the airway so that drainage of secretions and oxygen and carbon dioxide exchange can occur.

Question #15: Smoking cessation is critical strategy for the client with Buerger’s disease, Nurse Jasmin anticipates that the male client will go home with a prescription for which medication?

Option 4: Nicotine (Nicotrol) is given in controlled and decreasing doses for the management of nicotine withdrawal syndrome.


NCLEX Nursing Questions helps to improve your vocabulary.This exam are taken from random various nursing concepts.
If you fail try again!

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