NCLEX-RN
NCLEX RN Practice Questions PDF Questions
Extract:
Question 1 of 5
The client delivered a 9-pound infant two days ago. An effective means of managing discomfort from an episiotomy is:
Correct Answer: C
Rationale: Sitz baths relieve episiotomy pain by promoting circulation and healing.
Question 2 of 5
A client with a history of seizures is prescribed phenytoin (Dilantin) 100 mg three times daily. The nurse should instruct the client to report which of the following side effects to the physician?
Correct Answer: B
Rationale: gingival hyperplasia and rash are significant side effects of phenytoin that require medical attention
Question 3 of 5
A client has returned from surgery after removal of a tumor of the colon and creation of a temporary colostomy. She refuses to take a deep breath and cough then refuses to turn. Which of the following should the nurse assess first in trying to understand her lack of cooperation?
Correct Answer: D
Rationale: Pain (
D) is the most likely reason for refusing to cough or turn post-surgery, as these actions can exacerbate discomfort. Assessing pain first guides appropriate interventions. Delirium (
A), vital signs (
B), and oxygen saturation (
C) are secondary.
Question 4 of 5
The nurse is caring for a client scheduled for a surgical repair of an abdominal aortic aneurysm. Which assessment is most crucial during the preoperative period?
Correct Answer: C
Rationale: Identifying peripheral pulses is critical to establish a baseline for vascular status, as an abdominal aortic aneurysm repair can affect blood flow to the extremities, and postoperative complications may include vascular occlusion.
Question 5 of 5
The nurse is providing client education on self-administration of insulin. Which action by the client indicates the need for further education?
Correct Answer: A
Rationale: Rubbing the injection site can cause tissue damage and affect insulin absorption, indicating a need for further teaching.