NCLEX Exam Practice Question of the Week - 10/26/11

Elsevier NCLEX Exam Review

Question: On the first postoperative day the nurse assesses a client's colostomy stoma and notes that it is moist and dark pink with no obvious drainage. Which action should the nurse consider taking?                                                                                    


1. Document the normal findings.                                                             
2. Consult the enterostomal therapist.                                                      
3. Irrigate the ostomy with normal saline.                                                
4. Palpate the abdomen around the stoma.

NCLEX Exam Practice Question of the Week - 10/19/11

Elsevier NCLEX Exam Review

Question: To prevent complications of immobility, what would be the most effective activities to implement for a client on the first postoperative day after a colon resection?    


1. Turn, cough, and deep-breathe every 30 minutes around the clock                                                                                                              
2. Get the client out of bed and ambulate to a bedside chair                  
3. Provide passive range of motion three times a day                           
4. Immobility is not a concern on the first postoperative day

NCLEX Exam Practice Question of the Week - 10/12/11

Elsevier NCLEX Exam Review

Question: Nurse has just received a prescription to transfuse a unit of packed red blood cells for an assigned client. Approximately how long will the nurse need to stay with the client to ensure that a transfusion reaction is not occurring?             


1. 5 minutes                                                                                                    
2. 15 minutes                                                                                                
3. 40 minutes                                                                                                  
4. 45 minutes

NCLEX Exam Practice Question of the Week - 10/5/11

Elsevier NCLEX Exam Review

Question: A 38-year-old gravida VII, para VI woman has just delivered an 8 pound, 5 ounce newborn. What complication should the nurse monitor for during the fourth stage of labor?

1. Uterine shock                                                                                          
2. Uterine atony                                                                                          
3. Uterine involution                                                                                     
4. Cardiogenic shock