NCLEX-RN
NCLEX RN High-Yield Questions Questions
Extract:
Question 1 of 5
A nurse on the labor-and-delivery unit transfers a primiparous client and her term neonate to the mother-baby unit 2 hours after the client delivered. Which of the following information is a priority for the nurse to report to the nurse receiving the client on the mother-baby unit?
Correct Answer: A
Rationale: A firm fundus with massage indicates potential uterine atony, a priority to report due to the risk of postpartum hemorrhage.
Question 2 of 5
A client has been prescribed lansoprazole for 4 weeks. The nurse should monitor the client for relief from which problem?
Correct Answer: B
Rationale: Lansoprazole is a proton pump inhibitor and is classified as an antiulcer agent. The intended effect of the medication is relief of pain from gastric irritation, often referred to as heartburn by clients. The medication does not improve the other symptoms listed.
Question 3 of 5
Intravenous 5% albumin is prescribed for a client with burns of the anterior chest and both legs. The nurse contacts the primary health care provider before administering the human albumin if which are noted in the client's record? Select all that apply.
Correct Answer: A,D
Rationale: Five percent albumin is classified as a blood derivative and is contraindicated in severe anemia, cardiac failure, history of allergic reaction, renal insufficiency, and when no albumin deficiency is present. It is used with caution in clients with low cardiac reserve, pulmonary disease, or hepatic or renal failure.
Question 4 of 5
A nurse is caring for a toddler who is assessed as having hypertonicity, delayed fine motor skills, and poor control of coordinated motion. This is indicative of what cerebral palsy (CP) classification? Select all that apply.
Correct Answer: C,E
Rationale: Spastic cerebral palsy is characterized by hypertonicity and poor coordination. Abnormal involuntary or wormlike movements suggest dyskinetic CP, and gross motor impairment is not specified here.
Question 5 of 5
Your pregnant client has a new order for a medication. What principle should you apply to this new medication?
Correct Answer: A
Rationale: FDA pregnancy categories C, D, and X indicate potential or known risks to the fetus, making them contraindicated unless benefits outweigh risks.