NCLEX-RN Practice Questions Set 7 (75 Questions)

NCLEX-RN Practice Questions Set 7 (75 Questions). Question The nurse is providing discharge teaching for the client with leukemia. The client should be told to avoid: o A. Using oil- or cream-based soaps o B. Flossing between the teeth o C. The intake of salt o D. Using an electric razor Correct Answer: B. Flossing between the teeth The client who is immune-suppressed and has bone marrow suppression should be taught not to floss his teeth because platelets are decreased. o Option A: Oil or cream-based soap is allowed for leukemia patients because these will prevent dry skin, which predisposes to skin injury. o Option C: A healthy amount of salt in the patient’s food is allowed. o Option D: The use of an electric razor is recommended because it reduces the risk of injury to the skin that can cause bleeding. 2. 2. Question The nurse is changing the ties of the client with a tracheostomy. The safest method of changing the tracheostomy ties is to: o A. Apply the new tie before removing the old one. o B. Have a helper present. o C. Hold the tracheostomy with the nondominant hand while removing the old tie. o D. Ask the doctor to suture the tracheostomy in place. Correct Answer: A. Apply the new tie before removing the old one. Leaving the old ties in place while securing the clean ties prevents inadvertent dislodging of the tracheostomy tube. o Option B: Having a helper is good, but the helper might not prevent the client from coughing out the tracheotomy. o Option C: Hold the tracheostomy with the nondominant hand while removing the old tie is not the best way to prevent the client from coughing out the tracheotomy. o Option D: Asking the doctor to suture the tracheostomy in place is unnecessary. 3. 3. Question The nurse is monitoring a client following a lung resection. The hourly output from the chest tube was 300mL. The nurse should give priority to: o A. Turning the client to the left side o B. Milking the tube to ensure patency o C. Slowing the intravenous infusion o D. Notifying the physician Correct Answer: D. Notifying the physician The output of 300 mL is indicative of hemorrhage and should be reported immediately. o Option A: Turning the client to the left side does nothing to help the client. o Options B and C: Milking the tube is done only with an order and will not help in this situation, and slowing the intravenous infusion is not an appropriate action. 4. 4. Question The infant is admitted to the unit with tetralogy of fallot. The nurse would anticipate an order for which medication? o A. Digoxin