NCLEX-RN
Best NCLEX RN Question Bank Questions
Extract:
Question 1 of 5
The nurse developing a plan of care for a postterm small-for-gestational-age (SGA) newborn should identify which assessment as the priority to monitor?
Correct Answer: B
Rationale: The most common metabolic complication in the SGA newborn is hypoglycemia, which can produce central nervous system abnormalities and mental retardation if not corrected immediately. Urinary output, although important, is not the highest priority action; however, the postterm SGA newborn is typically dehydrated from placental dysfunction. Hemoglobin and hematocrit levels are monitored because the postterm SGA newborn exhibits polycythemia, although this also does not require immediate attention. The polycythemia contributes to increased bilirubin levels, usually beginning on the second day after delivery.
Question 2 of 5
The nurse coordinates with the laboratory staff to have the gentamicin trough serum level drawn. At what time should the blood be drawn in relation to the administration of the I.V. dose of gentamicin sulfate [Garamycin]?
Correct Answer: D
Rationale: The trough level, which measures the lowest drug concentration, is drawn just before the next dose to ensure the drug is within a therapeutic range and to avoid toxicity.
Question 3 of 5
The nurse assesses the assigned clients for the shift. Of the following assigned clients, which client is at greatest risk for falling?
Correct Answer: B
Rationale: Syncope increases fall risk due to sudden loss of consciousness, particularly in an elderly client with potential comorbidities.
Question 4 of 5
Select the client who is at greatest risk for the development of cancer.
Correct Answer: A
Rationale: Alcohol abuse is a known risk factor for several cancers, including liver, esophageal, and breast cancer, due to chronic inflammation and carcinogenic effects of alcohol metabolites.
Question 5 of 5
Select the opioid classification that is accurately coupled with an example of it AND a side effect or adverse reaction to it.
Correct Answer: A
Rationale: Dilaudid (hydromorphone) is an opioid agonist, and constipation is a common side effect due to opioid effects on the gastrointestinal tract.