NCLEX-RN
RN NCLEX Next Gen Questions Questions
Extract:
Question 1 of 5
A client is being treated for severe pediculosis. The nurse should instruct the client to treat the problem in the eyebrows and eyelashes by:
Correct Answer: A
Rationale: Petroleum jelly smothers lice in the eyebrows and eyelashes, a safe and effective treatment for this sensitive area, unlike pediculicides or antibiotics.
Question 2 of 5
A multigravid client at 34 weeks’ gestation who is leaking amniotic fl uid has just been hospitalized with a diagnosis of preterm premature rupture of membranes and preterm labor. The client’s contractions are 20 minutes apart, lasting 20 to 30 seconds. Her cervix is dilated to 2 cm. The nurse reviews the physician orders (see chart). Which of the following orders should the nurse initiate first?
Correct Answer: A
Rationale: The nurse should initiate fetal and contraction monitoring for this client upon arrival to the unit. This gives the nurse data regarding changes in fetal and maternal contraction status before completing the other orders. Next, the betamethasone would be given to begin the maturation process for the fetal lungs. Next, the nurse should start an intravenous infusion to provide a line for immediate intravenous access, if needed, and provide hydration for the client. The nurse should obtain the urine specimen prior to administering any antibiotic therapy, if ordered.
Question 3 of 5
The nurse is planning discharge care with the parents of a 16-year-old boy who recently attempted suicide. The nurse should advise the parents to tell the nurse if their son:
Correct Answer: C
Rationale: Giving away valued items is a warning sign of suicidal intent, requiring immediate reporting. The other behaviors are normal adolescent activities.
Question 4 of 5
A client with a history of type 1 diabetes is admitted with hyperglycemia. The nurse should include which of the following in the plan of care?
Correct Answer: A
Rationale: Regular insulin corrects hyperglycemia in type 1 diabetes.
Question 5 of 5
A client is suspected of having a slow gastrointestinal bleed. The nurse should evaluate the client for which sign or symptom?
Correct Answer: C
Rationale: Tarry stools are a hallmark sign of a slow gastrointestinal bleed due to digested blood.