NCLEX-RN
NCLEX RN Practice Questions
Extract:
Question 1 of 5
A client with rheumatoid arthritis is receiving injections of Myochrysine (gold sodium thiomalate). Before administering the client's medication, the nurse should:
Correct Answer: A
Rationale: Checking lab work is essential to monitor for toxicity, such as renal or hematologic effects, from gold therapy.
Question 2 of 5
A client has an open draining wound infected with MRSA and is on contact precautions. If the nurse is entering the room to care for the client, when are gloving and gowning necessary?
Correct Answer: C
Rationale: Contact precautions for MRSA require gloving and gowning upon entering the room (
C) for any patient or environmental contact to prevent transmission. Limited contact (A,
B) or uncontained drainage (
D) does not override the need for full precautions.
Question 3 of 5
A client is admitted to the chemical dependency unit for poly-drug abuse. The client states, 'I don't know why you are all so worried; I am in control. I don't have a problem.' Which defense mechanism is being utilized?
Correct Answer: D
Rationale: Denial is the defense mechanism where the client refuses to acknowledge the reality of their substance abuse problem, minimizing its severity.
Question 4 of 5
The nurse is preparing to give an oral potassium supplement. The nurse should give the medication:
Correct Answer: B
Rationale: Oral potassium supplements should be diluted with at least 4 oz. of juice to reduce gastrointestinal irritation.
Question 5 of 5
A 60-year-old client has undergone a nerve-sparing prostatectomy and has been advised by his physician that he may not recover normal sexual functioning. The client is very concerned about this and asks the nurse for more information. Which of the following information should the nurse include? Select all that apply.
Correct Answer: A,B,D,E
Rationale: Post-prostatectomy, retrograde ejaculation (
A), variable recovery time (
B), avoiding intercourse for 1 month (
D), and anxiety's impact (E) are relevant. Recovery within a month (
C) is incorrect, and prioritizing other intimacy (F) is subjective.