NCLEX Practice Exam 7

Question 1

The nurse is aware that the best way to prevent postoperative wound infection in the surgical client is to:

Accepted Answer

Wash her hands for 2 minutes before care

Answer

Thorough handwashing is recognized as the single most effective measure to prevent the spread of infection in healthcare settings. By physically removing transient microorganisms, it significantly reduces the risk of transmitting pathogens to surgical wounds. While other measures are important, hand hygiene forms the foundation of infection control practices.

Question 2

A client with a fractured hip is being taught correct use of the walker. The nurse is aware that the correct use of the walker is achieved if the:

Accepted Answer

Palms rest lightly on the handles

Answer

Correct walker use requires the client's elbows to be slightly flexed (about 15-30 degrees) when their hands are on the grips. When the palms rest lightly on the handles, it indicates the walker is at the appropriate height, allowing for proper weight bearing and stability without stooping or overextending. This ensures the client can maintain balance and move safely.

Question 3

A client with osteoarthritis has a prescription for Celebrex (celecoxib). Which instruction should be included in the discharge teaching?

Accepted Answer

Report chest pain.

Answer

Celecoxib (Celebrex) is a COX-2 inhibitor, a type of NSAID, which carries a black box warning due to an increased risk of serious cardiovascular thrombotic events, including myocardial infarction and stroke. Therefore, instructing the client to report chest pain is a critical safety measure. This warning highlights the importance of monitoring for cardiac symptoms.

Question 4

The nurse knows that a 60-year-old female client’s susceptibility to osteoporosis is most likely related to:

Accepted Answer

Hormonal disturbances

Answer

In postmenopausal women, the significant decrease in estrogen levels is the primary factor contributing to osteoporosis. Estrogen plays a crucial role in maintaining bone density by inhibiting bone resorption and promoting bone formation. The decline in this hormone after menopause accelerates bone loss, making hormonal disturbances the most likely cause of increased susceptibility.

Question 5

A 2-year-old is admitted for repair of a fractured femur and is placed in Bryant’s traction. Which finding by the nurse indicates that the traction is working properly?

Accepted Answer

The buttocks are 15° off the bed.

Answer

Bryant's traction is a form of skin traction used for infants and young children with fractured femurs. For the traction to be effective and provide continuous pull and counter-traction, the child's buttocks must be slightly elevated off the bed, typically 15-20 degrees. This elevation confirms that the correct amount of weight is being applied and the traction is working properly.

NCLEX Practice Test

NCLEX Practice Test

NCLEX Practice Exam 7