NCLEX-RN
NCLEX RN High-Yield Questions Questions
Extract:
Question 1 of 5
A client has had a left mastectomy with axillary lymph node dissection. The nurse determines that the client understands postoperative restrictions and arm care when the client states the intention to engage in which activity?
Correct Answer: A
Rationale: The client is at risk for edema and infection as a result of lymph node dissection. The client should use a variety of techniques to avoid trauma to the affected arm. Examples include using gloves when working in the garden, an electric razor to shave under the arm, and pot holders when cooking to prevent burns. The client should also avoid activities that increase edema, such as carrying heavy objects or having blood pressures taken on the affected arm.
Question 2 of 5
A nurse is administering I.V. fluids to a dehydrated client. When administering an I.V. solution of 3% sodium chloride, what should the nurse do? Select all that apply.
Correct Answer: A,B,C
Rationale: 3% sodium chloride is hypertonic and requires monitoring of intake/output, jugular veins for fluid overload, and neurologic status for hypernatremia effects. Forcing fluids or catheterization is not indicated.
Question 3 of 5
When assessing a child receiving tobramycin sulfate (Nebcin), which findings would indicate that the child is experiencing adverse effects? Select all that apply.
Correct Answer: C, E
Rationale:
Tobramycin, an aminoglycoside, can cause nephrotoxicity (indicated by weight gain from fluid retention), ototoxicity (ringing in the ears), and allergic reactions (rash). Fever, increased blood pressure, and decreased heart rate are not typical adverse effects.
Question 4 of 5
Ibuprofen 400 mg orally four times daily has been prescribed for an older client with a diagnosis of rheumatoid arthritis. The client asks the nurse about the amount of medication prescribed. The nurse responds based on understanding what about this prescribed dosage?
Correct Answer: A
Rationale: For acute or chronic rheumatoid arthritis or osteoarthritis, the normal oral adult dose for an older client is 200 to 800 mg 3 to 4 times a day.
Therefore, the remaining options are incorrect.
Question 5 of 5
The nurse caring for a client with diabetes realizes that the client has a higher risk of developing cataracts and:
Correct Answer: D
Rationale: Diabetic retinopathy, encompassing both background and proliferative types, is a common complication of diabetes due to chronic hyperglycemia affecting retinal blood vessels.