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NCLEX NCLEX-RN Exam Questions
National Council Licensure Examination - NCLEX-RN (Page 47 )

Updated On: 17-Feb-2026
Page 47 of 345
PDF with 862 Questions

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 12 inch after cleansing to prevent irritation from the balloon

Answer(s): B

Explanation:

(A) Wiping toward the urinary meatus would transport microorganisms from the external tubing to the urethra, thereby increasing the risk of bladder infection. (B) Wiping away from the urinary meatus would remove microorganisms from the point of insertion of the catheter, thereby decreasing the risk of bladder infection. (C) Talcum powder should not be applied following catheter care, because powders contribute to moisture retention and infection likelihood. (D) The catheter should never be inserted further into the urethra, because this would serve no useful purpose and would increase the risk of infection.



Which nursing implication is appropriate for a client undergoing a paracentesis?

  1. Have the client void before the procedure.
  2. Keep the client NPO.
  3. Observe the client for hypertension following the procedure.
  4. Place the client on the right side following the procedure.

Answer(s): A

Explanation:

(A) A full bladder would impede withdrawal of ascitic fluid. (B) Keeping the client NPO is not necessary. (C) The client may exhibit signs and symptoms of shock and hypertension. (D) No position change is needed after the procedure.



Which nursing implication is appropriate for a client undergoing a paracentesis?

  1. Have the client void before the procedure.
  2. Keep the client NPO.
  3. Observe the client for hypertension following the procedure.
  4. Place the client on the right side following the procedure.

Answer(s): A

Explanation:

(A) A full bladder would impede withdrawal of ascitic fluid. (B) Keeping the client NPO is not necessary. (C) The client may exhibit signs and symptoms of shock and hypertension. (D) No position change is needed after the procedure.



A nasogastric (NG) tube inserted preoperatively is attached to low, intermittent suctions. A client with an NG tube exhibits these symptoms: He is restless; serum electrolytes are Na 138, K 4.0, blood pH 7.53. This client is most likely experiencing:

  1. Hyperkalemia
  2. Hyponatremia
  3. Metabolic acidosis
  4. Metabolic alkalosis

Answer(s): D

Explanation:

(A) Sodium level is within normal limits. (B) Sodium level is within normal limits. (C) pH level is consistent with alkalosis. (D) With an NG tube attached to low, intermittent suction, acids are removed and a client will develop metabolic alkalosis.



A nasogastric (NG) tube inserted preoperatively is attached to low, intermittent suctions. A client with an NG tube exhibits these symptoms: He is restless; serum electrolytes are Na 138, K 4.0, blood pH 7.53. This client is most likely experiencing:

  1. Hyperkalemia
  2. Hyponatremia
  3. Metabolic acidosis
  4. Metabolic alkalosis

Answer(s): D

Explanation:

(A) Sodium level is within normal limits. (B) Sodium level is within normal limits. (C) pH level is consistent with alkalosis. (D) With an NG tube attached to low, intermittent suction, acids are removed and a client will develop metabolic alkalosis.






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