Welcome to our NCLEX Daily Ten Practice! This practice is designed to help you solidify your knowledge, improve your skills, and prepare thoroughly for the NCLEX exam. With ten questions to tackle each day, you’ll have the opportunity to review a broad range of subjects covered in the NCLEX exam.

 

1. In a postoperative unit, a nurse is caring for a client who has recently undergone a laminectomy to relieve spinal cord compression. The client is alert but has been instructed to minimize movement to prevent post-surgical complications. In addition to monitoring for the usual postoperative signs such as infection or bleeding, which technique should the nurse use to reposition the client to promote comfort and prevent injury safely?

A. Logroll the client carefully to maintain spinal alignment, ensuring that the head, back, and legs move as one unit.

B. Assist the client to dangle on the side of the bed before standing to promote circulation and reduce the risk of orthostatic hypotension.

C. Encourage the client to use an overhead trapeze when self-repositioning to enhance independence and strengthen upper body muscles.

D. Instruct the client to perform gentle range-of-motion exercises to the lower extremities to prevent venous stasis and deep vein thrombosis.

E. Utilize a transfer board when moving the client from the bed to a chair to reduce shearing forces on the healing spine.

F. Apply gentle traction to the client’s legs when turning to decrease pressure on the surgical site and alleviate pain.

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2. A 55-year-old client who just had cataract removal with an intraocular lens implant is being prepared for discharge. The client has a history of hypertension and is moderately active. The client’s postoperative recovery has been uneventful, but they express anxiety about ensuring a proper recovery. The nurse needs to provide comprehensive discharge instructions. In addition to avoiding activities that could increase ocular pressure, which of the following should be included in the discharge education?

A. Restrict fluids to limit the need for frequent urination.

B. Avoid lifting objects heavier than 5 lb (2.25 kg) and engage in light activities like walking.

C. Remain in a prone position while resting to facilitate healing.

D. Keep living spaces dimly lit to avoid glare and discomfort in the healing eye.

E. Refrain from straining during bowel movements and avoid bending at the waist.

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3. George, a 17-year-old individual, is attending a health education session at a community clinic. The clinic is conducting screenings and teaching about early detection of common health issues in young adults. George has a family history of testicular cancer and is seeking information on how to reduce his risk. The nurse should include education on testicular self-examinations as part of the session. At what age should the nurse emphasize the initiation of regular testicular self-examinations?

A. At the onset of sexual activity to ensure sexual health is maintained.

B. After the age of 69, as part of a routine examination for senior health.

C. Starting after age 40, coinciding with increased risk for other male health issues.

D. Prior to the age of 20, to establish early detection habits during the peak incidence of testicular cancer.

E. During the annual physical examination, regardless of age, to ensure consistency.

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4. A 50-year-old male client with a history of colorectal cancer has recently undergone a colon resection. Postoperatively, while assisting the client to turn in bed for routine care, the nurse notices the surgical wound site has suddenly dehisced, and there is evisceration of abdominal contents. In prioritizing the immediate actions to take, which step should the nurse perform first to address this acute complication?

 A. Promptly notify the surgeon to report the critical incident and seek further orders.

B. Immediately cover the eviscerated tissue with a dressing moistened with sterile normal saline.

C. Check the client’s vital signs to assess for shock or other immediate life-threatening conditions.

D. Attempt to gently approximate the wound edges without applying pressure to the eviscerated organs.

E. Prepare the client for emergency surgery while ensuring the preservation of the exposed tissues.

F. Administer prescribed analgesia to manage the client’s pain due to the dehiscence.

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5. The nurse is monitoring a 78-year-old male patient who has experienced a significant cerebrovascular accident resulting in extensive brain damage. During a comprehensive evaluation, the nurse observes the patient’s respiratory pattern and identifies a cycle of respirations that increase and decrease in depth and rate, culminating in periods where breathing temporarily ceases. This observation is most consistent with which of the following descriptions?

 A. Progressively deeper breaths followed by shallower breaths with apneic periods.

B. Rapid, deep breathing with abrupt pauses between each breath.

C. Rapid, deep breathing and irregular breathing without pauses.

D. Shallow breathing with an increased respiratory rate.

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