NCLEX-RN
NCLEX-RN Exam Practice Questions
Extract:
Question 1 of 5
An 8-week-old infant has been diagnosed with gastroesophageal reflux. The nurse is teaching the infant's mother to care for the infant at home. Which one of the following statements by the nurse is appropriate regarding the infant's home care?
Correct Answer: D
Rationale: Elevating the child's head to a 30-degree angle is the recommended position for gastroesophageal reflux. The supine position predisposes the child to aspiration. Small, frequent feedings with thickened formula are recommended to minimize vomiting. Antacids should be given at the same time as the feeding to improve their buffering action. The infant should be kept still after feedings to reduce the risk of vomiting and aspiration. Vigorous activities should be carried out before feedings.
Question 2 of 5
A postoperative prostatectomy client is preparing for discharge from the hospital the next morning. The nurse realizes that additional instructions are necessary when he states:
Correct Answer: C
Rationale: This is correct health teaching. Drinking 10-12 glasses of clear liquid will help increase urine volumes and prevent clot formation. This is correct health teaching. These types of exercises are prescribed by physicians to assist postprostatectomy clients to strengthen their perineal muscles. This action is not recommended post-TURP because of the close proximity of the prostate and rectum. This is correct healthcare teaching. The client should limit walking long distances, lifting heavy objects, or driving a car until these activities are cleared by the physician at the first office visit.
Question 3 of 5
A client has been instructed in how to take her nitroglycerin tablets. The nurse giving her instructions knows the client understands the information when she tells her:
Correct Answer: C
Rationale: Headaches may occur after taking nitroglycerin because of vasodilation. The tablets do not need to be refrigerated. The client should carry them with her. The client should contact the physician if repeated doses of nitroglycerin do not relieve the discomfort. Nitroglycerin tablets should be dissolved under the tongue, not swallowed.
Question 4 of 5
The nurse is caring for a patient with suspected diverticulitis. The nurse would be most prudent in questioning an order for which of the following diagnostic tests?
Correct Answer: B
Rationale: A barium enema is contraindicated in suspected diverticulitis due to the risk of perforation and peritonitis. Ultrasound, CT scans, and CBC are appropriate for diagnosing diverticulitis or assessing complications.
Question 5 of 5
The nurse is caring for a client following a Whipple procedure. The nurse should give priority to assessing for:
Correct Answer: B
Rationale: The Whipple procedure involves pancreatic resection, increasing the risk of hypoglycemia due to altered insulin production, making this a priority assessment.