NCLEX-RN
NCLEX-RN Exam Questions
Extract:
Question 1 of 5
A client undergoes a transurethral resection, prostate (TURP). He returns from surgery with a three-way continuous Foley irrigation of normal saline in progress. The purpose of this bladder irrigation is to prevent:
Correct Answer: B
Rationale: A three-way system of bladder irrigation will cleanse the bladder and prevent formation of blood clots. A catheter obstructed by clots or other debris will cause prostatic distention and hemorrhage.
Question 2 of 5
The physician orders medication for a client's unpleasant side effects from the haloperidol. The most appropriate drug at this time is:
Correct Answer: C
Rationale: Lorazepam is a benzodiazepine, or antianxiety agent, that potentiates the effects of -aminobutyric acid in the CNS, which is not the CNS neurotransmitter EPS. Triazolam is a benzodiazepine sedative-hypnotic whose action is mediated in the limbic, thalamic, and hypothalamic levels of the CNS by -aminobutyric acid. Benztropine is an anticholinergic agent, and the drug of choice for blocking CNS synaptic response, which causes EPS. Thiothixene is an antipsychotic and neuroleptic drug that blocks dopamine neurotransmission at the CNS synapses, thereby causing EPS.
Question 3 of 5
A six-month-old is receiving Lanoxin elixir (digoxin) following the repair of a VSD. Which finding should be reported to the physician?
Correct Answer: C
Rationale: A heart rate of 80 beats per minute in a six-month-old is low (normal range: 100-160 bpm) and may indicate digoxin toxicity or worsening cardiac function post-VSD repair. The other findings are within normal limits for an infant.
Question 4 of 5
A 6-month-old infant has developmental delays. His weight falls below the 5th percentile when plotted on a growth chart. A diagnosis of failure to thrive is made. What behaviors might indicate the possibility of maternal deprivation?
Correct Answer: B
Rationale: Normal infant attachment behaviors include responding to touch and wanting to be held. Maternal deprivation behaviors include poor feeding, stiffening and refusal to eat, and inconsistencies in responsiveness. Attachment behavior includes maintaining eye contact. Maternal deprivation behaviors include displeasure with touch and physical contact.
Question 5 of 5
The nurse is teaching a client with a history of psoriasis about skin care. The nurse should tell the client to:
Correct Answer: A
Rationale: Moisturizing the skin helps reduce dryness and scaling in psoriasis, improving skin barrier function and comfort.