NCLEX-RN
NCLEX RN High-Yield Questions Questions
Extract:
Question 1 of 5
A client is admitted to the hospital in myasthenic crisis. The nurse should ask the client about which precipitating factor for this event?
Correct Answer: B
Rationale: Myasthenic crisis is often caused by undermedication and responds to the administration of cholinergic medications such as neostigmine and pyridostigmine. Increased sleep and change in diet are not precipitating factors. However, overexertion and overeating could possibly trigger myasthenic crisis. Cholinergic crisis is caused by excess medication and responds to withholding of medications.
Question 2 of 5
The nurse is planning to initiate a blood transfusion. Which of the following solutions should the nurse select to prime the tubing when preparing to administer the blood?
Correct Answer: B
Rationale: Normal saline is compatible with blood and used to prime tubing to prevent hemolysis or clotting.
Question 3 of 5
A client who had transurethral resection of the prostate (TURP) 2 days earlier is complaining of lower abdominal pain. The nurse should:
Correct Answer: D
Rationale: Lower abdominal pain post-TURP may indicate catheter obstruction, so assessing patency is the priority.
Question 4 of 5
A nurse is caring for a toddler who is assessed as having hypertonicity, delayed fine motor skills, and poor control of coordinated motion. This is indicative of what cerebral palsy (CP) classification? Select all that apply.
Correct Answer: C,E
Rationale: Spastic cerebral palsy is characterized by hypertonicity and poor coordination. Abnormal involuntary or wormlike movements suggest dyskinetic CP, and gross motor impairment is not specified here.
Question 5 of 5
The nurse is caring for a client who has just undergone a craniotomy. Which of the following interventions is most important in the immediate postoperative period?
Correct Answer: A
Rationale: Frequent neurological monitoring is critical post-craniotomy to detect complications like increased intracranial pressure.