NCLEX-RN Practice Test

NCLEX-RN Practice Test practice questions, page 21 of 35, with answer review and explanations.

Question 101

A 74-year-old female client is 3 days postoperative. She has an indwelling catheter and has been progressing well. While the nurse is in the room, the client states, "Oh dear, I feel like I have to urinate again!" Which of the following is the most appropriate initial nursing response?

  1. Assure her that this is most likely the result of bladder spasms.
  2. Check the collection bag and tubing to verify that the catheter is draining properly.
  3. Instruct her to do Kegel exercises to diminish the urge to void.
  4. Ask her if she has felt this way before.

Question 102

In cleansing the perineal area around the site of catheter insertion, the nurse would:

  1. Wipe the catheter toward the urinary meatus
  2. Wipe the catheter away from the urinary meatus
  3. Apply a small amount of talcum powder after drying the perineal area
  4. Gently insert the catheter another 1⁄2 inch after cleansing to prevent irritation from the balloon

Question 103

Nursing interventions designed to decrease the risk of infection in a client with an indwelling catheter include:

  1. Cleanse area around the meatus twice a day
  2. Empty the catheter drainage bag at least daily
  3. Change the catheter tubing and bag every 48 hours
  4. Maintain fluid intake of 1200–1500 mL every day

Question 104

A client tells the nurse that she has had a history of urinary tract infections. The nurse would do further health teaching if she verbalizes she will:

  1. Drink at least 8 oz of cranberry juice daily
  2. Maintain a fluid intake of at least 2000 mL daily
  3. Wash her hands before and after voiding
  4. Limit her fluid intake after 6 PM so that there is not a great deal of urine in her bladder while she sleeps

Question 105

An 83-year-old client has been hospitalized following a fall in his home. He has developed a possible fecal impaction. Which of the following assessment findings would be most indicative of a fecal impaction?

  1. Boardlike, rigid abdomen
  2. Loss of the urge to defecate
  3. Liquid stool
  4. Abdominal pain