NCLEX-RN
NCLEX-RN Exam Questions
Extract:
Question 1 of 5
A client with a history of a brain tumor is scheduled for a craniotomy. The nurse should:
Correct Answer: B
Rationale: Antibiotics are often given preoperatively for a craniotomy to prevent infection. Shaving is per protocol, flat positioning may increase ICP, and exercises are taught post-op.
Question 2 of 5
The mother of a 7-year-old mental health center client reports that the client has refused to attend gymnastics for the past 2 weeks. Prior to that time, the child liked going to this class and was attending 3 times a week. In talking with the client, the nurse would:
Correct Answer: B
Rationale: Asking 'why' questions may put the child on the defensive and may not elicit useful information, especially in a young child who may struggle to articulate reasons. This approach is open-ended and encourages the child to describe her experiences in a non-confrontational way, which may reveal underlying issues while building trust. This question is too specific and may feel confrontational, potentially causing the child to shut down. While encouraging expression of feelings is appropriate, it is less specific and may not help uncover the specific event or change that led to her refusal to attend.
Question 3 of 5
A client with a history of a heart failure is receiving Digoxin (Lanoxin). The nurse should monitor the client for:
Correct Answer: B
Rationale: Digoxin toxicity can cause visual disturbances (e.g., yellow-green halos), requiring monitoring. Tachycardia, hypotension, and weight loss are less specific.
Question 4 of 5
A client with polycythemia vera is admitted with complaints of difficulty breathing and pleuritic pain. Which lab finding is expected in the client with polycythemia vera?
Correct Answer: A
Rationale: Polycythemia vera is characterized by excessive red blood cell production, leading to an increased red blood cell count, which can cause hyperviscosity and symptoms like dyspnea.
Question 5 of 5
Following a bicycle accident, a 12-year-old client sustained a complete fracture of the left femur. He was placed in 90-90 skeletal traction with a pin in the distal end of the femur to achieve realignment and immobilization of the left femur. When providing nursing care, it is important for the nurse to remember that:
Correct Answer: B
Rationale: It is necessary to keep the pin site clean and free from infection, which is critical in skeletal traction care.