NCLEX-RN
RN NCLEX Next Gen Questions Questions
Extract:
Question 1 of 5
A nurse notices that a newborn has a swelling in the scrotum. The nurse should interpret this as indicative of hydrocele if which of the following occurs?
Correct Answer: C
Rationale: Transillumination of the scrotal sac indicates fluid, characteristic of a hydrocele, a common newborn condition.
Question 2 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 3 of 5
The nurse is assessing a client with a suspected acute pancreatitis. Which of the following laboratory findings is most indicative of this condition?
Correct Answer: A
Rationale: Elevated amylase and lipase are hallmark laboratory findings in acute pancreatitis due to pancreatic enzyme release.
Question 4 of 5
A 24-year-old client has been diagnosed with acute osteomyelitis in the left leg. He complains of acute pain in the leg that intensifies when he moves it. The client has a temperature of 101°F (38.3°C) and a reddened, warm area in the midcalf region over the shaft of the tibia. Based on this information, which of the following nursing diagnoses would be most appropriate for this client?
Correct Answer: B
Rationale: Activity intolerance due to severe pain is the most appropriate diagnosis, as pain limits mobility. Amputation is not indicated, body image is secondary, and fever does not directly cause fluid volume deficit.
Question 5 of 5
A client with a history of heart failure is prescribed lisinopril (Prinivil). The nurse should monitor the client for which of the following adverse effects?
Correct Answer: A, B
Rationale: Lisinopril, an ACE inhibitor, can cause hyperkalemia and hypotension.