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
The nurse is caring for a client following cast application for a fractured ulna. Which finding should be reported to the doctor?
Correct Answer: D
Rationale: Paresthesia (numbness or tingling) in the fingers suggests nerve compression or compromised circulation possibly from a tight cast and requires immediate reporting. Pain is expected and warm fingers with a pulse are normal findings.
Question 3 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 4 of 5
The client is admitted with a diagnosis of placenta previa. Which diagnostic test is most likely to be ordered?
Correct Answer: A
Rationale: Ultrasound is the primary test for diagnosing placenta previa visualizing the placenta’s position relative to the cervix. Fetal fibronectin amniocentesis and non-stress tests are not used for this diagnosis.
Question 5 of 5
A client has been in labor 10 hours and is becoming very tired. She has dilated to 7 cm and is at 0 station with the fetus in a right occipitoposterior position. She is complaining of severe backache with each contraction. One comfort measure the nurse can employ is to:
Correct Answer: C
Rationale: This measure is inappropriate. The knee-chest position is employed to take pressure off the cord. Effleurage is a comfort measure but not the one that will contribute most to the relief of backache caused by a posterior position. Sacral pressure will counteract the pressure created by the position of the fetal head. The client is not completely dilated. Pushing is contraindicated until the second stage of labor.