NCLEX-RN
NCLEX RN Exam Questions Questions
Extract:
Question 1 of 5
A client had a cardiac catheterization with angiography and thrombolytic therapy with streptokinase. The nurse should initiate which of the following interventions immediately after he returns to his room?
Correct Answer: B
Rationale: A contrast dye, iodine, is used in this procedure. This dye is nephrotoxic. The client must be encouraged to drink plenty of liquids to assist the kidneys in eliminating the dye. Streptokinase activates plasminogen, dissolving fibrin deposits.
To prevent bleeding, pressure is applied at the insertion site. The client is assessed for both internal and external bleeding. The extremity used for the insertion site must be kept straight and be immobilized because of the potential for bleeding. The client is kept on bed rest for 8-12 hours following the procedure because of the potential for bleeding.
Question 2 of 5
The nurse is teaching a client in preparation for a colonoscopy. Which would be involved in the teaching session?
Correct Answer: A, C, E
Rationale: Colonoscopy prep includes a liquid diet (
A), laxative bowel prep (
C), and NPO 8 hours prior (E). Sedation is standard (
B), and enemas (
D) are not routine on admission.
Question 3 of 5
In client teaching, the nurse should emphasize that fetal damage occurs more frequently with ingestion of drugs during:
Correct Answer: A
Rationale: The first trimester is the period of organogenesis, when the fetus is most susceptible to teratogenic effects of drugs.
Question 4 of 5
A client is diagnosed with stage II Hodgkin's lymphoma. The nurse recognizes that the client has involvement:
Correct Answer: B
Rationale: Stage II Hodgkin's lymphoma involves two or more lymph nodes or a single organ on the same side of the diaphragm, per the Ann Arbor staging system.
Question 5 of 5
A client is diagnosed with post-traumatic stress disorder following a rape by an unknown assailant. The nurse should give priority to:
Correct Answer: A
Rationale: A supportive environment fosters trust and safety in PTSD, aiding recovery. Discussing the attack or controlling emotions may retraumatize, and hypnotics are secondary.