NCLEX-RN
RN NCLEX Next Gen Questions Questions
Extract:
Question 1 of 5
A nulligravid client with gestational diabetes tells the nurse that she had a reactive nonstress test 3 days ago and asks, 'What does that mean?' The nurse explains that a reactive nonstress test indicates which of the following about the fetus?
Correct Answer: B
Rationale: A reactive nonstress test, showing fetal heart rate accelerations, indicates fetal well-being.
Question 2 of 5
Thirty minutes after a Sengstaken-Blakemore tube is inserted, the nurse observes that the client appears to be having difficulty breathing. The nurse's first action should be to:
Correct Answer: C
Rationale: Difficulty breathing may indicate airway obstruction by the Sengstaken-Blakemore tube, so assessing this is the priority action.
Question 3 of 5
A female client is treated for trichomoniasis with metronidazole (Flagyl). The nurse instructs the client that:
Correct Answer: C
Rationale: Metronidazole can cause a disulfiram-like reaction with alcohol, so avoiding alcohol during and 24 hours after treatment is critical.
Question 4 of 5
The nurse is preparing to suction an adult client with a tracheostomy who has copious amounts of secretions. Which action should the nurse take to accomplish this procedure safely and effectively?
Correct Answer: C
Rationale: The safe wall suction range for an adult is 80 to 120 mm Hg, making option 3 the action that is consistent with safe and effective practice. The nurse should hyperoxygenate the client both before and after suctioning. The nurse should use intermittent suction in the airway (not constant) for up to 10 to 15 seconds. The nurse should advance the catheter into the tracheostomy without occluding the Y-port to minimize mucosal trauma and aspiration of the client's oxygen.
Question 5 of 5
A client with a history of bipolar disorder is prescribed lamotrigine (Lamictal). The nurse should instruct the client to report which of the following side effects immediately?
Correct Answer: B
Rationale: A rash may indicate a serious hypersensitivity reaction to lamotrigine, such as Stevens-Johnson syndrome, requiring immediate reporting.