NCLEX-RN
Practice NCLEX RN Questions Questions
Extract:
Question 1 of 5
A client is being discharged with an implantable cardioverter-defibrillator (ICD), and the nurse is educating the client about home management. The client asks what he should do if the ICD fires one time but he has no other symptoms. Which of the following is the best advice?
Correct Answer: D
Rationale: A single ICD firing without symptoms should be reported to the physician (
D) for evaluation. Calling 9-1-1 (
A) or going to the ED (
B) is unnecessary, and resuming activities (
C) may be premature.
Question 2 of 5
The nursing assistant reports to the nurse that a client who is one-day postoperative after an angioplasty is refusing to eat and states, 'I just don't feel good.' Which of the following actions, if taken by the nurse, is BEST?
Correct Answer: A
Rationale: assessment required; monitor for closure of vessel, bleeding, hypotension, dysrhythmias
Question 3 of 5
A pregnant woman has experienced repeated vaginal monilial infections. When educating the client about the infection, which information should the nurse include? Select all that apply.
Correct Answer: A,B,C
Rationale: Daily bathing (
A), understanding estrogen's role in yeast growth (
B), and wearing cotton panties (
C) help manage monilial infections. Panty liners (
D) may trap moisture, and avoiding panties (E) is impractical.
Question 4 of 5
Which laboratory test would be the least effective in making the diagnosis of a myocardial infarction?
Correct Answer: A
Rationale: AST is less specific for myocardial infarction than troponin, CK-MB, or myoglobin.
Question 5 of 5
A child who ingested 18 500-mg acetaminophen tablets 30 minutes ago is seen in the ED. Which of these orders should the nurse do first?
Correct Answer: A
Rationale: Activated charcoal is the priority within 1 hour of acetaminophen overdose to reduce absorption, followed by acetylcysteine to prevent liver damage.