NCLEX-RN Practice Test 9

Question 1

The client with a cervical fracture is placed in traction. Which type of traction will be utilized at the time of discharge?

Accepted Answer

Halo traction

Answer

Russell’s traction

Answer

Buck’s traction

Answer

Crutchfield tong traction

Question 2

A client with a total knee replacement has a CPM (continuous passive motion device) applied during the post-operative period. Which statement made by the nurse indicates understanding of the CPM machine?

Accepted Answer

“The CPM machine controls should be positioned distal to the site.”

Answer

“Use of the CPM will permit the client to ambulate during the therapy.”

Answer

"If the client complains of pain during the therapy, I will turn off the machine and call the doctor.”

Answer

“Use of the CPM machine will alleviate the need for physical therapy after the client is discharged.”

Question 3

Which roommate would be most suitable for the 6-year-old male with a fractured femur in Russell’s traction?

Accepted Answer

12-year-old male with a fractured femur

Answer

16-year-old female with scoliosis

Answer

10-year-old male with sarcoma

Answer

6-year-old male with osteomyelitis

Question 4

Which statement made by the family member caring for the client with a percutaneous gastrostomy tube indicates understanding of the nurse’s teaching?

Accepted Answer

“I must flush the tube with water after feedings and clamp the tube.”

Answer

“I must check placement four times per day.”

Answer

“I will report to the doctor any signs of indigestion.”

Answer

“If my father is unable to swallow, I will discontinue the feeding and call the clinic.”

Question 5

A client is admitted to the labor and delivery unit. The nurse performs a vaginal exam and determines that the client’s cervix is 5 cm dilated with 75% effacement. Based on the nurse’s assessment the client is in which phase of labor?

Accepted Answer

Active

Answer

Latent

Answer

Transition

Answer

Early

Question 6

A client with a total hip replacement requires special equipment. Which equipment would assist the client with a total hip replacement with activities of daily living?

Accepted Answer

High-seat commode

Answer

Recliner

Answer

TENS unit

Answer

Abduction pillow

Question 7

The nurse is caring for the client with a 5-year-old diagnosis of plumbism. Which information in the health history is most likely related to the development of plumbism?

Accepted Answer

The client’s parents are skilled stained-glass artists.

Answer

The client has traveled out of the country in the last 6 months.

Answer

The client lives in a house built in 1976

Answer

The client has several brothers and sisters.

Question 8

A client with a fractured tibia has a plaster-of-Paris cast applied to immobilize the fracture. Which action by the nurse indicates understanding of a plaster-of-Paris cast? The nurse:

Accepted Answer

Allows 24 hours before bearing weight

Answer

Handles the cast with the fingertips

Answer

Petals the cast

Answer

Dries the cast with a hair dryer

Question 9

After the physician performs an amniotomy, the nurse’s first action should be to assess the:

Accepted Answer

Fetal heart tones

Answer

Degree of cervical dilation

Answer

Client’s vital signs

Answer

Client’s level of discomfort

Question 10

The nurse is caring for a client with systemic lupus erythematosus (SLE). The major complication associated with systemic lupus erythematosus is:

Accepted Answer

Nephritis

Answer

Cardiomegaly

Answer

Desquamation

Answer

Meningitis