NCLEX-RN
RN NCLEX Next Gen Questions Questions
Extract:
Question 1 of 5
A primigravid client at 38 weeks' gestation reports decreased fetal movement. What is the nurse's first action?
Correct Answer: D
Rationale: Auscultating fetal heart tones is the first step to assess fetal well-being in response to decreased movement, providing immediate data.
Question 2 of 5
A postoperative client has been placed on a clear liquid diet. Which items is the client allowed to consume? Select all that apply.
Correct Answer: A,B,C
Rationale: A clear liquid diet consists of foods that are relatively transparent to light, and are clear and liquid at room and body temperature. These foods include such items as water, either regular or decaffeinated coffee or tea, bouillon, clear broth, gelatin, carbonated beverages, hard candy, lemonade, and popsicles. The incorrect food items are items that are allowed on a full liquid diet.
Question 3 of 5
The nurse is planning discharge care with the parents of a 16-year-old boy who recently attempted suicide. The nurse should advise the parents to tell the nurse if their son:
Correct Answer: C
Rationale: Giving away valued items is a warning sign of suicidal intent, requiring immediate reporting. The other behaviors are normal adolescent activities.
Question 4 of 5
You will be providing nursing care prior to, during and after electroconvulsive therapy for your client who is severely depressed. Which of the following is an appropriate nursing intervention for this client?
Correct Answer: C
Rationale: Headache is a common side effect of ECT, and educating the client about this prepares them for post-procedure expectations.
Question 5 of 5
A client has been prescribed digoxin (Lanoxin). Which of the following symptoms should the nurse tell the client to report as a potential indication of digoxin toxicity?
Correct Answer: C
Rationale: Visual disturbances, such as blurred or yellow vision, are classic signs of digoxin toxicity, requiring immediate reporting.