NCLEX-RN
NCLEX RN High-Yield Questions Questions
Extract:
Question 1 of 5
A 16-year-old primiparous client has decided to place her baby for adoption. The adoptive parents are on their way to the hospital when the mother says, 'I want to see the baby one last time.' Which of the following should the nurse do?
Correct Answer: D
Rationale: Allowing the client to see and hold the baby supports emotional closure and respects her autonomy in this significant decision.
Question 2 of 5
While assessing a neonate at age 24 hours, the nurse observes several irregularly shaped, red, flat patches on the back of the neonate's neck. The nurse interprets this finding as which of the following?
Correct Answer: A
Rationale: Stork bites are common, benign, red, flat patches on a neonate's neck or face that typically fade over time. Port wine stains are darker and persistent, newborn rash is more generalized, and café au lait spots are pigmented and light brown.
Question 3 of 5
When planning the care for a client diagnosed with hepatitis A, which of the following nursing interventions should the nurse expect to include? Select all that apply.
Correct Answer: B,D,E
Rationale: Hepatitis A care includes relieving nausea and vomiting, encouraging small meals to improve nutrition, and planning rest periods due to fatigue. Exercise and pain medication are not typically needed.
Question 4 of 5
Which characteristic of carbon monoxide makes it a particularly dangerous gas?
Correct Answer: A
Rationale: Carbon monoxide is dangerous because it is clear , odorless, and tasteless, making it undetectable without specialized equipment, leading to unnoticed exposure and poisoning.
Question 5 of 5
A nurse is caring for a client who is having an allergic reaction to a blood transfusion. In what order should the nurse provide care for this client?
Order the Items
Source Container
Correct Answer: A,C,D
Rationale: The correct order is: 1) Stop the transfusion to halt the reaction, 2) Keep the vein open with saline to maintain access, 3) Administer antihistamine to manage symptoms, and 4) Send the blood bag to the blood bank for analysis.