NCLEX-RN
NCLEX RN High-Yield Questions Questions
Extract:
Question 1 of 5
A client is being discharged from the hospital after removal of chest tubes that were inserted following thoracic surgery. When providing home care instructions to the client, which client statement indicates a need for further teaching?
Correct Answer: C
Rationale: Upon removal of a chest tube, a dressing is usually placed over the chest tube site. This is maintained in place until the primary health care provider says it may be removed. The client should avoid heavy lifting for the first 4 to 6 weeks after discharge to facilitate continued wound healing. The client is taught to monitor and report any respiratory difficulty or increased temperature.
Question 2 of 5
A client with a history of gout is prescribed allopurinol (Zyloprim). Which instruction should the nurse include?
Correct Answer: B
Rationale: Drinking plenty of fluids prevents uric acid crystal formation in the kidneys, a key consideration for clients taking allopurinol.
Question 3 of 5
A client with a diagnosis of osteoarthritis is prescribed celecoxib (Celebrex). The nurse should instruct the client to report which of the following side effects immediately?
Correct Answer: B
Rationale: Chest pain may indicate a cardiovascular event, a serious side effect of celecoxib, requiring immediate reporting.
Question 4 of 5
The nurse is assessing a client with suspected diverticulitis. Which finding supports this diagnosis?
Correct Answer: A
Rationale: Left lower quadrant pain is characteristic of diverticulitis, as diverticula commonly form in the sigmoid colon, causing localized inflammation.
Question 5 of 5
Which is a sign of thrombocytopenia?
Correct Answer: A
Rationale: Petechiae, small red or purple spots on the skin, are a hallmark sign of thrombocytopenia due to low platelet counts.