NCLEX-RN
NCLEX-RN Exam Practice Questions
Extract:
Question 1 of 5
Following a fracture of the left femur, a client develops symptoms of osteomyelitis. During the acute phase of osteomyelitis, nursing care is directed toward:
Correct Answer: A
Rationale: Any movement of the affected limb will cause discomfort to the child, so careful handling is essential during the acute phase.
Question 2 of 5
The nurse is developing a plan of care for a client with an electrolyte imbalance and identifies a nursing diagnosis of decreased physical mobility. Which alteration is most likely the etiology?
Correct Answer: C
Rationale: A deficit in sodium concentration results in muscular weakness and lethargy. Muscle fatigue and hypotonia are caused by hypercalcemia. Muscle weakness and fatigue are classic signs of hypokalemia. Hypermagnesemia can cause muscle weakness, paralysis, and coma.
Question 3 of 5
A client with a history of a burn injury is receiving Silvadene (silver sulfadiazine). The nurse should monitor the client for:
Correct Answer: A
Rationale: Silver sulfadiazine can cause neutropenia, requiring monitoring of white blood cell counts. Hyperkalemia, hypoglycemia, and hypertension are not typical side effects.
Question 4 of 5
A husband asks if he can visit with his wife on her ECT treatment days and what to expect after the initial treatment. The nurse's best response is:
Correct Answer: D
Rationale: A family member is encouraged to stay with the client after return to the unit. The nurse has used an opportunity to do family teaching and allay fears by explaining temporary side effects of the treatment.
Question 5 of 5
The client at 36 weeks gestation is admitted with painless vaginal bleeding. The nurse should suspect which of the following conditions?
Correct Answer: B
Rationale: Placenta previa typically presents with painless vaginal bleeding in the third trimester as the placenta covers the cervix. Abruptio placenta causes painful bleeding premenstrual syndrome is unrelated to pregnancy and cord prolapse involves fetal distress not bleeding.