NCLEX-RN Practice Quiz Test Bank #7 (75 Questions)

NCLEX-RN Practice Quiz Test Bank #7
(75 Questions)
NCLEXRN-07-001

Question Tag: leukemia

Question Category: Health Promotion and Maintenance

The nurse is providing discharge teaching for the client with leukemia. The client
should be told to avoid:

 A. Using oil- or cream-based soaps
 B. Flossing between the teeth
 C. The intake of salt
 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.



NCLEXRN-07-002

Question Tag: tracheostomy

Question Category: Reduction of Risk Potential

,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.



NCLEXRN-07-003

Question Tag: lung resection

Question Category: Physiological Integrity, Reduction of Risk Potential

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.



NCLEXRN-07-004

Question Tag: Tetralogy of Fallot

Question Category: Physiological Integrity, Pharmacological and Parenteral
Therapies

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.

, NCLEXRN-07-005

Question Tag: Self-breast exam

Question Category: Health Promotion and Maintenance

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.




Correct Answer: A.

The Tail of Spence is located in the upper outer quadrant of the breast.

 Option B: Option B is the areola, a dark area of skin surrounding the
nipple.