NCLEX-PN PRACTICE EXAM
QUESTIONS AND CORRECT
DETAILED ANSWERS WITH
RATIONALE LATEST UPDATE THIS
YEAR
The nurse is caring for a client with a
diagnosis of Hepatitis who is
experiencing pruritis. Which would be
the most appropriate nursing
intervention?
A. Suggest that the client take warm
showers b.i.d.
1
,B. Add baby oil to the client's bath
water
C. Apply powder to the client's skin
D. Suggest a hot water rinse after
bathing. - correct answer=✔✔B. Add
baby oil to the client's bath water
why?
Oil can be applied to help with the dry
skin and to decrease itching, so
adding baby oil to bath water is
soothing to the skin.
A client with pancreatitis has been
transferred to the intensive care unit.
Which order would the nurse
anticipate?
2
,A. Blood pressure every 15 minutes
B. Insertion of a levine tube
C. Cardiac monitoring
D. Dressing changes 2x per day -
correct answer=✔✔B. Insertion of a
levine tube
why?
The client with pancreatitis frequently
has nausea and vomiting. Lavage is
often used to decompress the stomach
and rest the bowel, so the insertion of
a levine tube should be anticipated.
The client is admitted to the unit after a
cholescystectomy. Montgomery straps
3
, are utilized with this client. The nurse
is aware that Montgomery straps are
utilized on this client because:
A. The client is at risk for evisceration
B. The client will require frequent
dressing changes
C. The straps provide support for
drains that are inserted into the
incision
D. No sutures or clips are used to
secure the incision. - correct
answer=✔✔B. The client will require
frequent dressing changes
why?
4
QUESTIONS AND CORRECT
DETAILED ANSWERS WITH
RATIONALE LATEST UPDATE THIS
YEAR
The nurse is caring for a client with a
diagnosis of Hepatitis who is
experiencing pruritis. Which would be
the most appropriate nursing
intervention?
A. Suggest that the client take warm
showers b.i.d.
1
,B. Add baby oil to the client's bath
water
C. Apply powder to the client's skin
D. Suggest a hot water rinse after
bathing. - correct answer=✔✔B. Add
baby oil to the client's bath water
why?
Oil can be applied to help with the dry
skin and to decrease itching, so
adding baby oil to bath water is
soothing to the skin.
A client with pancreatitis has been
transferred to the intensive care unit.
Which order would the nurse
anticipate?
2
,A. Blood pressure every 15 minutes
B. Insertion of a levine tube
C. Cardiac monitoring
D. Dressing changes 2x per day -
correct answer=✔✔B. Insertion of a
levine tube
why?
The client with pancreatitis frequently
has nausea and vomiting. Lavage is
often used to decompress the stomach
and rest the bowel, so the insertion of
a levine tube should be anticipated.
The client is admitted to the unit after a
cholescystectomy. Montgomery straps
3
, are utilized with this client. The nurse
is aware that Montgomery straps are
utilized on this client because:
A. The client is at risk for evisceration
B. The client will require frequent
dressing changes
C. The straps provide support for
drains that are inserted into the
incision
D. No sutures or clips are used to
secure the incision. - correct
answer=✔✔B. The client will require
frequent dressing changes
why?
4
