NCLEX-RN
NCLEX RN High-Yield Questions Questions
Extract:
Question 1 of 5
A client who had transurethral resection of the prostate (TURP) 2 days earlier is complaining of lower abdominal pain. The nurse should:
Correct Answer: D
Rationale: Lower abdominal pain post-TURP may indicate catheter obstruction, so assessing patency is the priority.
Question 2 of 5
A 10-year-old child is diagnosed with pediculosis. The mother is concerned about the spread of the lice to children who have been in contact with her child. The nurse should instruct the mother to have her child avoid:
Correct Answer: C
Rationale: Sharing batting helmets can spread lice through direct head-to-head contact or shared items, unlike the other activities.
Question 3 of 5
Long-term administration of gentamicin sulfate (Garamycin) to a client has been discontinued. The nurse should assess which of the following?
Correct Answer: C
Rationale: Gentamicin can cause ototoxicity, affecting the vestibular system, so a vestibular check in 3 to 4 weeks is necessary to assess for balance issues. The other options are not directly related to gentamicin's side effects.
Question 4 of 5
A multiparous client 48 hours postpartum who is breast-feeding tells the nurse, 'I'm having a lot of cramping. This didn't happen when I nursed my first baby,' which of the following would be the nurse's best response?
Correct Answer: D
Rationale: Breast-feeding stimulates oxytocin release, causing uterine contractions and cramping, which is normal and often more noticeable in multiparous women.
Question 5 of 5
The nurse is caring for a client with a history of burns. Which of the following interventions should be included in the plan of care?
Correct Answer: A
Rationale: Monitoring for infection is critical in burns due to high risk of sepsis.