NCLEX-RN
NCLEX RN Exam Questions Questions
Extract:
Question 1 of 5
A 13-year-old hemophiliac is hospitalized for hemarthrosis of his right knee. To relieve the pain, the nurse should:
Correct Answer: A
Rationale: Bed rest, elevation, and splinting reduce bleeding and pain in hemarthrosis, stabilizing the joint.
Question 2 of 5
The client returns to the recovery room following repair of an abdominal aneurysm. Which finding would require further investigation?
Correct Answer: B
Rationale: Urinary output of 20 mL/hour is below the expected minimum of 30 mL/hour, indicating potential renal compromise or hypoperfusion, common risks after aneurysm repair. This requires further investigation. The other findings are within acceptable post-operative ranges.
Question 3 of 5
The nurse is caring for a client with a history of a pulmonary embolism who is receiving Alteplase (Activase). The nurse should:
Correct Answer: A
Rationale: Alteplase, a thrombolytic, increases bleeding risk, requiring close monitoring for signs like hematuria or hematoma. Vitamin K, glucose, and fluid restriction are unrelated.
Question 4 of 5
The nurse is planning dietary changes for a client following an episode of acute pancreatitis. Which diet is suitable for the client?
Correct Answer: B
Rationale: A high-calorie, low-fat diet supports recovery from pancreatitis by reducing pancreatic stimulation while meeting energy needs. High-fat diets exacerbate symptoms, and low-calorie diets are inadequate.
Question 5 of 5
A 16-year-old student has a long history of bronchial asthma and has experienced several severe asthmatic attacks during the school year. The school nurse is required to administer 0.2 mL of 1/1000 solution of epinephrine SC during an asthma attack. How does the school nurse evaluate the effectiveness of this intervention?
Correct Answer: C
Rationale: A side effect of epinephrine is fatal ventricular fibrillation owing to its effects on cardiac stimulation. Medications used to treat asthma are designed to decrease bronchospasm, not to increase expectorate of secretions. Epinephrine decreased inspiratory difficulty by stimulating α-, β1, and β2-receptors causing sympathomimetic stimulation (e.g., bronchodilation). The person with asthma fights to inspire sufficient air thus increasing respiratory rate.