NCLEX-RN
NCLEX-RN Exam Practice Questions
Extract:
Question 1 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.
Question 2 of 5
The initial treatment for a client with a liquid chemical burn injury is to:
Correct Answer: B
Rationale: The use of large amounts of water to flush the area is recommended for chemical burns to dilute and remove the chemical. Neutralizing solutions may extend the burn, calcium chloride is not indicated, and lanolin is not beneficial initially.
Question 3 of 5
A 33-year-old client is diagnosed with bipolar disorder, acute phase. This is her first psychiatric hospitalization, and she is being evaluated for treatment with lithium. Which of the following diagnostic tests are essential prior to the initiation of lithium therapy with this client?
Correct Answer: B
Rationale: These are general diagnostic blood studies (usually done on admission), but they are not reliable indicators of lithium therapy clearance. These are the primary diagnostic tests to determine kidney functioning. Because lithium is excreted through the kidneys and because it can be very toxic, adequate renal function must be ascertained before therapy begins. These are diagnostic blood tests used to determine the presence of endocrine (not renal) dysfunction. These are other types of diagnostic procedures used to determine musculoskeletal, neural, and cardiac (rather than renal) functioning.
Question 4 of 5
The physician is preparing to induce labor on a 40-week multigravida. The nurse should anticipate the administration of:
Correct Answer: A
Rationale: Oxytocin is used to induce labor by stimulating uterine contractions in a term pregnancy.
Question 5 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.