NCLEX-RN
NCLEX RN Exam Questions Questions
Extract:
Question 1 of 5
A 50-year-old male client is to receive chemotherapy. The physician's orders include antiemetics. When planning his care, the nurse should take into consideration that antiemetics are best administered in the following way:
Correct Answer: B
Rationale: Nausea is more difficult to control if antiemetics are withheld until nausea is experienced. Antiemetics should be given prophylactically at the beginning of chemotherapy and continued on an around-the-clock basis to prevent nausea. Combinations of antiemetics give the best control for nausea by blocking various causes of nausea induced by chemotherapy. Antiemetics should be given around the clock during the course of chemotherapy. This prevents nausea from developing and prevents anticipatory nausea during subsequent chemotherapy administrations.
Question 2 of 5
A client with a history of heart failure is admitted with complaints of edema. The nurse should give priority to:
Correct Answer: A
Rationale: Diuretics reduce edema in heart failure, improving fluid balance and symptoms.
Question 3 of 5
A client with Addison's disease is receiving Solu-Medrol (methylprednisolone). Which of the following interventions would the nurse implement?
Correct Answer: C
Rationale: Addison’s disease involves adrenal insufficiency and methylprednisolone replaces deficient corticosteroids. Monitoring sodium and potassium levels is essential as Addison’s can cause hyperkalemia and hyponatremia which may be affected by steroid therapy.
Question 4 of 5
The nurse is notified that a 27-year-old primigravida diagnosed with complete placenta previa is to be admitted to the hospital for a cesarean section. The client is now at 36 weeks' gestation and is presently having bright red bleeding of moderate amount. On admission, the nursing intervention that the nurse should give the highest priority to is:
Correct Answer: B
Rationale: These nursing actions are necessary prior to the cesarean section, but not immediately necessary to maintain physiological equilibrium. Determining the physiological status of the fetus would constitute the highest priority in evaluating and maintaining fetal life. These nursing actions are necessary prior to the cesarean section, but not immediately necessary百2.5.3.2 immediately necessary to maintain physiological equilibrium. These nursing actions are necessary prior to the cesarean section, but not immediately necessary to maintain physiological equilibrium.
Question 5 of 5
The nurse is teaching a client with a new colostomy about appliance care. Which instruction should be included?
Correct Answer: B
Rationale: Emptying the colostomy pouch when one-third to one-half full prevents leakage and skin irritation. Changing every 12 hours is excessive, soap may leave residue, and lotion can interfere with adhesion.