NCLEX-RN
NCLEX RN Exam Questions Questions
Extract:
Question 1 of 5
A client develops complications following a hysterectomy. Blood cultures reveal Pseudomonas aeruginosa. The nurse expects that the physician would order an appropriate antibiotic to treat P. aeruginosa such as:
Correct Answer: A
Rationale: Cefoperazone is indicated in the treatment of infection with Pseudomonas aeruginosa. Clindamycin is not indicated in the treatment of infection with P. aeruginosa. Dicloxacillin is not indicated in the treatment of infection with P. aeruginosa. Erythromycin is not indicated in the treatment of infection with P. aeruginosa.
Question 2 of 5
The nurse is caring for a client hospitalized with a facial stroke. Which diet selection would be suited to the client?
Correct Answer: B
Rationale: A facial stroke may impair chewing and swallowing. Soft foods like split pea soup mashed potatoes and pudding are easier to swallow and safer for a client with dysphagia. The other options include harder or chewier foods that pose a risk.
Question 3 of 5
The nurse is providing discharge teaching for a client taking naltrexone (Revia). The nurse should instruct the client to avoid which over-the-counter medication:
Correct Answer: C
Rationale: Naltrexone, used for opioid or alcohol dependence, can interact with cold medicines containing dextromethorphan, which may have opioid-like effects, reducing naltrexone’s efficacy. Acetaminophen, ibuprofen, and antihistamines do not have significant interactions.
Question 4 of 5
A 55-year-old woman entered the emergency room by ambulance. Her primary complaint is chest pain. She is receiving O2 via nasal cannula at 2 L/min for dyspnea. Which of the following findings in the client's nursing assessment demand immediate nursing action?
Correct Answer: B
Rationale: Indigestion or nausea may accompany angina or myocardial infarction, but they do not indicate imminent danger for the client. Restlessness and apprehensiveness require immediate nursing action because they are indicative of very low oxygenation of body tissues and are frequently the first indication of impending cardiac or respiratory arrest. It is common for the cardiac client to experience fatigue and inability to physically tolerate long assessment sessions. A history of hypertension requires no immediate nursing intervention. In the situation described, the blood pressure is not given and therefore cannot be assumed to be elevated.
Question 5 of 5
A male client is undergoing cardiac tests. He has been instructed to wear a Holter monitor. The nurse knows she has included the appropriate information in her teaching when the client tells her:
Correct Answer: C
Rationale: The client should leave the electrodes in place during the entire time the test is ordered. He should not even remove the electrodes for bathing. The Holter monitor will record cardiac electrical activity but will not record damage to his myocardium. The client should keep a record of all of his activities so the physician can correlate the ECG findings with his activities. The client should continue doing his regular activities. The purpose of the Holter monitor is to record heart activity during routine activities.