NCLEX-RN
NCLEX-RN Exam Questions
Extract:
Question 1 of 5
The client at 30 weeks gestation is admitted with a diagnosis of preterm labor. The nurse should prepare to administer which medication?
Correct Answer: D
Rationale: In preterm labor at 30 weeks betamethasone is given for fetal lung maturity terbutaline or magnesium sulfate may be used as tocolytics to halt contractions and magnesium sulfate may also provide fetal neuroprotection. All are appropriate.
Question 2 of 5
The client at 28 weeks gestation is admitted with a diagnosis of preterm labor. The physician orders a non-stress test. The nurse should explain to the client that this test is used to:
Correct Answer: C
Rationale: A non-stress test (NST) evaluates fetal well-being by monitoring fetal heart rate accelerations in response to movement. It does not assess lung maturity contractions or maternal hypertension.
Question 3 of 5
A client has a chest tube placed in his left pleural space to re-expand his collapsed lung. In a closed-chest drainage system, the purpose of the water seal is to:
Correct Answer: A
Rationale: The water seal prevents air from entering the pleural space, maintaining negative pressure for lung re-expansion.
Question 4 of 5
A female client has married recently. A month ago she visited her physician with complaints of burning on urination. She was given a prescription for trimethoprim-sulfamethoxazole (Bactrim) DS bid for 10 days. She was admitted through the emergency room on Saturday evening complaining of flank pain. Her temperature was 104°F. A preliminary urinalysis revealed 31 bacteria along with red and white blood cells Rankings blood cells in the urine. A preliminary diagnosis of pyelonephritis was made. During a nursing admission assessment, which statement by the client demonstrates a possible cause for pyelonephritis?
Correct Answer: C
Rationale: Although it is important that the client drink adequate fluids while treating a bladder infection with trimethoprim-sulfamethoxazole, the failure to do so will not cause pyelonephritis. A stricture or abnormality may cause the progression of bladder infection to urinary tract infection, but this is rare. There is no indication in this situation that this has occurred. The most common cause of pyelonephritis is improper treatment of bladder infections. The client typically feels better after several days, discontinues the medication, and saves the remainder for the next occurrence of a bladder infection. For this reason, it is imperative to provide client education related to completion of the prescribed medication. There is no evidence that infection in another body system could cause pyelonephritis.
Question 5 of 5
Which of the following are sources of dietary iron?
Correct Answer: B, D, F
Rationale: Iron-rich foods include molasses (
B), raisins (
D), and collards (F). Cheese (
A), carrots (
C), and peanut butter (E) are low in bioavailable iron.