NCLEX-RN
NCLEX RN Exam Questions Questions
Extract:
Question 1 of 5
A 4-year-old child is being discharged from the hospital after being treated for severe croup. Which one of the following instructions should the nurse give to the child's mother for the home treatment of croup?
Correct Answer: A
Rationale: Initial home treatment of croup includes placing the child in an environment of high humidity to liquefy and mobilize secretions. Antihistamines should be avoided because they can cause thickening of secretions. Drooling is a characteristic sign of airway obstruction and the child should be taken directly to the emergency room. Crying increases respiratory distress and hypoxia in the child with croup. The nurse should promote methods that will calm the child.
Question 2 of 5
A gravida 2 para 1 client delivered a full-term newborn 12 hours ago. The nurse finds her uterus to be boggy, high, and deviated to the right. The most appropriate nursing action is to:
Correct Answer: D
Rationale: A full bladder is the most common cause of uterine displacement; having the client void addresses this before further interventions.
Question 3 of 5
Following eruption of the primary teeth, the mother can promote chewing by giving the toddler:
Correct Answer: C
Rationale: Pieces of cereal are soft, small, and safe for a toddler to chew, promoting jaw development without posing a choking hazard, unlike hot dogs, carrot sticks, or raisins.
Question 4 of 5
A 20-year-old male client is being treated for protein deficiency. If he likes all of the following foods, which one would the nurse recommend to increase in the diet?
Correct Answer: C
Rationale: Cantaloupe is a good source of carbohydrates, vitamin C, and vitamin A. Rice contains about 4 g of protein per 200 g. Chicken contains 35 g protein per breast. Chicken is a rich source of vitamin B6 (pyridoxine), which is needed for adequate protein synthesis. As protein intake increases, vitamin B6 intake must also be increased. Vitamin B6 is a coenzyme in amino acid metabolism. Green beans only contain 2 g of protein per cup.
Question 5 of 5
A client with IDDM is given IV insulin for a blood glucose level of 520 mg/dL. Life-threatening complications may occur initially, so the nurse will monitor him closely for serum:
Correct Answer: D
Rationale: When diabetic ketoacidosis exists, intracellular dehydration occurs and potassium leaves the cells and enters the vascular system, thus increasing the serum level beyond an acceptable range. When insulin and fluids are administered, cell walls are repaired and potassium is transported back into the cells. Normal serum potassium levels range from 3.5-5.0 mEq/L.