NCLEX-RN
NCLEX RN Practice Questions with Answers Questions
Extract:
Question 1 of 5
A client with a history of schizophrenia is admitted with auditory hallucinations. The nurse should prioritize which of the following interventions?
Correct Answer: A, B
Rationale: A quiet environment and haloperidol reduce stimulation and manage hallucinations.
Question 2 of 5
A client with a suspected diagnosis of lung cancer has a bronchoscopy with biopsy. Following the procedure the nurse should:
Correct Answer: B
Rationale: Monitoring for pneumothorax is critical after a bronchoscopy with biopsy, as it is a potential complication due to lung puncture.
Question 3 of 5
The nurse is caring for a client with a history of heart failure who is receiving furosemide (Lasix). Which laboratory value should the nurse monitor closely?
Correct Answer: A
Rationale: Furosemide, a loop diuretic, can cause hypokalemia due to potassium loss in urine. Monitoring serum potassium is critical to prevent arrhythmias or muscle weakness.
Question 4 of 5
The nurse is conducting a prostate screening clinic. Which sign of prostatism should the nurse question each client about?
Correct Answer: D
Rationale: Signs of prostatism that may be reported to the nurse are reduced force and size of urinary stream, intermittent stream, hesitancy in beginning the flow of urine, inability to stop urinating quickly, a sensation of incomplete bladder emptying after voiding, and an increase in episodes of nocturia. These symptoms are the result of pressure of the enlarging prostate on the client's urethra.
Question 5 of 5
The nurse is preparing to insert a urinary catheter. Which action ensures sterile technique?
Correct Answer: C
Rationale: Applying sterile lubricant to the catheter tip maintains sterile technique, reducing the risk of infection during urinary catheter insertion.