NCLEX-RN
NCLEX RN High-Yield Questions Questions
Extract:
Question 1 of 5
A 10-year-old child is diagnosed with pediculosis. The mother is concerned about the spread of the lice to children who have been in contact with her child. The nurse should instruct the mother to have her child avoid:
Correct Answer: C
Rationale: Sharing batting helmets can spread lice through direct head-to-head contact or shared items, unlike the other activities.
Question 2 of 5
The mother of an infant with iron deficiency anemia asks the nurse what she could have done to prevent the anemia. The nurse should teach the mother that it is helpful to introduce solid foods into the infant's diet at age:
Correct Answer: B
Rationale: Introducing solids at 5-6 months provides iron-rich foods, helping prevent iron deficiency anemia.
Question 3 of 5
A family may request to have a client of Vietnamese descent transferred to die at home because it is traditionally believed that:
Correct Answer: C
Rationale: In Vietnamese culture, dying at home is often preferred, as it is believed to provide more comfort and spiritual peace for the patient and family.
Question 4 of 5
A nurse is administering I.V. fluids to a dehydrated client. When administering an I.V. solution of 3% sodium chloride, what should the nurse do? Select all that apply.
Correct Answer: A,B,C
Rationale: 3% sodium chloride is hypertonic and requires monitoring of intake/output, jugular veins for fluid overload, and neurologic status for hypernatremia effects. Forcing fluids or catheterization is not indicated.
Question 5 of 5
A client with a history of bipolar disorder is prescribed valproic acid (Depakene). The nurse should instruct the client to report which of the following side effects immediately?
Correct Answer: B
Rationale: Yellowing of the skin indicates potential hepatotoxicity, a serious side effect of valproic acid, requiring immediate reporting.