COMPREHENSIVE NCLEX-RN LATEST PRACTICE EXAM LATEST UPDATE 60Q&A’S WITH RATIONALES (GUARANTEED PASS) | RATED A+

COMPREHENSIVE NCLEX-RN LATEST PRACTICE EXAM LATEST UPDATE 60Q&A’S WITH RATIONALES (GUARANTEED PASS) | RATED A+

1. The nurse is providing discharge teaching for the client with leukemia. The client should be
told to avoid:
o A. Using oil- or cream-based soaps
o B. Flossing between the teeth
o C. The intake of salt
o D. Using an electric razor
Correct Answer: B. Flossing between the teeth
The client who is immune-suppressed and has bone marrow suppression should be taught not to
floss his teeth because platelets are decreased.
ï‚· Option A: Oil or cream-based soap is allowed for leukemia patients because
these will prevent dry skin, which predisposes to skin injury.
ï‚· Option C: A healthy amount of salt in the patient’s food is allowed.
ï‚· Option D: The use of an electric razor is recommended because it reduces the
risk of injury to the skin that can cause bleeding.
2. The nurse is changing the ties of the client with a tracheostomy. The safest method of
changing the tracheostomy ties is to:
ï‚· A. Apply the new tie before removing the old one.
ï‚· B. Have a helper present.
ï‚· C. Hold the tracheostomy with the nondominant hand while removing the old
tie.
ï‚· D. Ask the doctor to suture the tracheostomy in place.