RN NCLEX Practice Test

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Question 1 of 5.

A client is being discharged from the hospital today. The discharge teaching for care of her colostomy included which of the following basic principles for protecting the skin around her stoma:

A. Taping a pouch that is leaking

B. Cutting the skin barrier 1 1/2 inches larger than the stoma

C. Changing the pouch only when leakage occurs

D. Using a skin sealant under pouch adhesives

Explanation: When skin sealant is used under the tape, the outermost layer of the epidermis remains intact. When no skin sealant is used, this layer is removed when the tape is removed.

Question 2 of 5.

The nurse is observing the ambulation of a client recently fitted for crutches. Which observation requires nursing intervention?

A. Two finger widths are noted between the axilla and the top of the crutch.

B. The client bears weight on his hands when ambulating.

C. The crutches and the client's feet move alternately.

D. The client bears weight on his axilla when standing.

Explanation: Bearing weight on the axilla can cause nerve damage (e.g., brachial plexus injury); crutches should support weight on the hands.

Question 3 of 5.

A client with angina is being discharged with a prescription for Transderm Nitro (nitroglycerin) patches. The nurse should tell the client to:

A. Shave the area before applying the patch

B. Remove the old patch and clean the skin with alcohol

C. Cover the patch with plastic wrap and tape it in place

D. Avoid cutting the patch because it will alter the dose

Explanation: Cutting a nitroglycerin patch can alter the dose by disrupting the drug delivery system, so clients should be instructed to avoid this.

Question 4 of 5.

A patient refuses to take his dose of oral medication. The nurse tells the patient that if he does not take the medication that she will administer it by injection. The nurse's comments can result in a charge of:

A. Malpractice

B. Assault

C. Negligence

D. Battery

Explanation: Threatening to administer medication by injection against the patient's will constitutes assault, as it involves a threat of unwanted contact.

Question 5 of 5.

An 18-month-old is admitted to the hospital with acute laryngotracheobronchitis. When assessing the respiratory status, the nurse should expect to find:

A. Inspiratory stridor and harsh cough

B. Strident cough and drooling

C. Wheezing and intercostal retractions

D. Expiratory wheezing and nonproductive cough

Explanation: Acute laryngotracheobronchitis (croup) typically presents with inspiratory stridor and a harsh, barking cough due to subglottic airway inflammation.

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