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

Halo traction is a type of cervical traction that provides rigid stabilization for cervical fractures and can be worn for an extended period, including at the time of discharge. It allows for patient mobility while maintaining spinal alignment, unlike other forms of traction (like Russell's, Buck's, or Crutchfield tong traction) which are typically used for shorter durations or are more restrictive and not suitable for discharge.

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

CPM machines are designed to provide continuous passive motion to a joint, often post-operatively. Positioning the controls distal to the site allows for easy access and adjustment by the client or nurse without disturbing the surgical area or the machine's primary function. This ensures convenience and minimizes the risk of injury or discomfort during therapy.

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

When assigning roommates, nurses prioritize client safety, age appropriateness, and infection control. A 12-year-old male with a fractured femur is the most suitable choice as he is in a similar age group and has a non-infectious condition, minimizing the risk of cross-contamination and providing a more compatible environment for the 6-year-old.

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

Flushing a percutaneous gastrostomy tube with water after feedings is essential to prevent clogging and maintain patency. Clamping the tube afterward prevents leakage of gastric contents and air from entering the stomach, ensuring proper function and client comfort. This indicates a correct understanding of critical gastrostomy tube care.

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

The active phase of labor is characterized by more rapid cervical dilation and effacement. A cervix dilated to 5 cm with 75% effacement falls within the typical parameters of the active phase, which generally begins around 4-6 cm dilation and progresses more quickly than the latent phase.

NCLEX Practice Test

NCLEX Practice Test

NCLEX-RN Practice Test 9