NCLEX-RN
NCLEX RN Test Bank with Rationales Questions
Extract:
Question 1 of 5
The mother calls the nurse to report that her toddler has just been burned on the arm. The nurse should advise the mother to first:
Correct Answer: C
Rationale: Running cool water over the burn reduces tissue damage and pain, followed by wrapping in a clean cloth to protect the area before seeking medical care.
Question 2 of 5
A nurse is assessing a client who has a potential diagnosis of pancreatitis. Which risk factors predispose the client to pancreatitis? Select all that apply.
Correct Answer: A,B,C,E
Rationale: Excessive alcohol use, gallstones, abdominal trauma, and hyperlipidemia with high triglycerides are established risk factors for pancreatitis, as they can disrupt塌 or obstruct pancreatic ducts or cause inflammation.
Question 3 of 5
A client with a history of breast cancer is admitted with bone metastases. The nurse should include which of the following in the plan of care?
Correct Answer: A
Rationale: Bisphosphonates reduce bone resorption and pain in bone metastases.
Question 4 of 5
Homocysteine may be cleared from the blood with the help of which of the following vitamins?
Correct Answer: D
Rationale: Vitamin B6 (pyridoxine) aids in homocysteine metabolism, reducing blood levels. Other vitamins listed do not have this effect.
Question 5 of 5
The nurse instructs a female client about collecting a midstream urine sample for culture and sensitivity. Which should the nurse include in client teaching?
Correct Answer: B
Rationale:
To prepare properly for collection of a sterile urine specimen, the client cleanses the perineum from front to back using antiseptic swabs. Bathing before a midstream urine collection is unnecessary; however, proper specimen handling is critically important because improper specimen handling can yield inaccurate test results. The specimen should be labeled with the client's name, date, time, and medical record number in addition to the provider's name. The client should begin the flow of urine and collect the sample after starting the flow of urine, and then send the specimen to the laboratory as soon as possible.