NCLEX-RN
NCLEX RN High-Yield Questions Questions
Extract:
Question 1 of 5
A client is being discharged after undergoing a transurethral resection of the prostate (TURP). The nurse teaches the client to expect which variation in normal urine color for several days after the procedure?
Correct Answer: B
Rationale: The client should expect that the urine will be pink-tinged for several days after this procedure. Dark red urine may be present initially, especially with inadequate bladder irrigation, and if it occurs, it must be corrected. Clear urine is not expected after surgery; cloudy urine could indicate an infection.
Question 2 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.
Question 3 of 5
While assessing a neonate at age 24 hours, the nurse observes several irregularly shaped, red, flat patches on the back of the neonate's neck. The nurse interprets this finding as which of the following?
Correct Answer: A
Rationale: Stork bites are common, benign, red, flat patches on a neonate's neck or face that typically fade over time. Port wine stains are darker and persistent, newborn rash is more generalized, and café au lait spots are pigmented and light brown.
Question 4 of 5
Which of the following nursing diagnoses is a priority for the family whose child is dying of leukemia?
Correct Answer: D
Rationale: Grieving is the priority nursing diagnosis for a family with a child dying of leukemia, as it addresses their emotional response to impending loss. Other diagnoses may apply but are less immediate.
Question 5 of 5
A client with a history of Addison's disease is prescribed hydrocortisone (Cortef). The nurse should instruct the client to:
Correct Answer: C
Rationale: Hydrocortisone suppresses immunity, so reporting signs of infection is critical in Addison's disease.