NCLEX-RN
RN NCLEX Next Gen Questions Questions
Extract:
Question 1 of 5
As the nurse in a primary care clinic, which cultural concern would you integrate into your psychological assessments of your clients?
Correct Answer: A
Rationale: Cultural stigma around mental health can significantly impact clients' willingness to report psychological symptoms, making it a critical consideration in assessments.
Question 2 of 5
A client is at risk for development of metabolic alkalosis because of persistent vomiting. The nurse should assess the client specifically for:
Correct Answer: B
Rationale: Persistent vomiting causes loss of hydrochloric acid, leading to metabolic alkalosis, which can manifest as hyperventilation as the body compensates for elevated pH.
Question 3 of 5
A client with a history of type 2 diabetes is prescribed metformin (Glucophage). The nurse should instruct the client to:
Correct Answer: A, B
Rationale: Metformin should be taken with meals to reduce gastrointestinal upset, and alcohol should be avoided to prevent lactic acidosis.
Question 4 of 5
A young adult is hospitalized with a seizure disorder. The client, who is in a bed with padded side rails, has a tonic-clonic seizure. In what order should the nurse take the following actions?
Order the Items
Source Container
Correct Answer: C,B,A,D
Rationale: First, clear the area to prevent injury, turn the client on their side to maintain airway patency, loosen clothing to ease breathing, and suction if needed to clear secretions.
Question 5 of 5
When assessing a 2-month-old infant, the nurse feels a 'click' when abducting the infant's left hip. Which of the following should the nurse do next?
Correct Answer: B
Rationale: A 'click' during hip abduction suggests developmental dysplasia of the hip, so checking femur lengths helps confirm asymmetry for further evaluation.