NCLEX-RN Practice Questions Set 7
(75 Questions)
1. 1. 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.
Option A: Oil or cream-based soap is allowed for
leukemia patients because these will prevent dry skin,
which predisposes to skin injury.
Option C: A healthy amount of salt in the patient’s
food is allowed.
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:
A. Apply the new tie before removing the old one.
B. Have a helper present.
C. Hold the tracheostomy with the nondominant hand
while removing the old tie.
, 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.
Option B: Having a helper is good, but the helper
might not prevent the client from coughing out the
tracheotomy.
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.
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:
A. Turning the client to the left side
B. Milking the tube to ensure patency
C. Slowing the intravenous infusion
D. Notifying the physician
Correct Answer: D. Notifying the physician
The output of 300 mL is indicative of hemorrhage and should be
reported immediately.
Option A: Turning the client to the left side does
nothing to help the client.
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?
, A. Digoxin
B. Epinephrine
C. Aminophylline
D. Atropine
Correct Answer: A. Digoxin
The infant with Tetralogy of Fallot involves four heart defects: A
large ventricular septal defect (VSD), Pulmonary stenosis, Right
ventricular hypertrophy and, An overriding aorta. He will be
treated with digoxin to slow and strengthen the heart.
Option B: One of the side effects of epinephrine is the
pounding, fast, or irregular heartbeat, which is
detrimental to a patient with Tetralogy of Fallot.
Option C: Increased or rapid heart rate is an adverse
effect of aminophylline and should be avoided for a
patient with Tetralogy of Fallot.
Option D: Atropine prevents or abolishes bradycardia.
5. 5. Question
The nurse is educating the lady’s club in a self-breast exam. The
nurse is aware that most malignant breast masses occur in the
Tail of Spence.
On the diagram below, select where the Tail of Spence is.
, A
B
(75 Questions)
1. 1. 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.
Option A: Oil or cream-based soap is allowed for
leukemia patients because these will prevent dry skin,
which predisposes to skin injury.
Option C: A healthy amount of salt in the patient’s
food is allowed.
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:
A. Apply the new tie before removing the old one.
B. Have a helper present.
C. Hold the tracheostomy with the nondominant hand
while removing the old tie.
, 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.
Option B: Having a helper is good, but the helper
might not prevent the client from coughing out the
tracheotomy.
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.
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:
A. Turning the client to the left side
B. Milking the tube to ensure patency
C. Slowing the intravenous infusion
D. Notifying the physician
Correct Answer: D. Notifying the physician
The output of 300 mL is indicative of hemorrhage and should be
reported immediately.
Option A: Turning the client to the left side does
nothing to help the client.
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?
, A. Digoxin
B. Epinephrine
C. Aminophylline
D. Atropine
Correct Answer: A. Digoxin
The infant with Tetralogy of Fallot involves four heart defects: A
large ventricular septal defect (VSD), Pulmonary stenosis, Right
ventricular hypertrophy and, An overriding aorta. He will be
treated with digoxin to slow and strengthen the heart.
Option B: One of the side effects of epinephrine is the
pounding, fast, or irregular heartbeat, which is
detrimental to a patient with Tetralogy of Fallot.
Option C: Increased or rapid heart rate is an adverse
effect of aminophylline and should be avoided for a
patient with Tetralogy of Fallot.
Option D: Atropine prevents or abolishes bradycardia.
5. 5. Question
The nurse is educating the lady’s club in a self-breast exam. The
nurse is aware that most malignant breast masses occur in the
Tail of Spence.
On the diagram below, select where the Tail of Spence is.
, A
B
