NCLEX-RN
RN NCLEX Next Gen Questions Questions
Extract:
Question 1 of 5
The nurse is assessing a client with a history of heart failure who is receiving a 500-mL I.V. bolus of 0.9% normal saline. To evaluate the client's response to the treatment, the nurse should especially monitor the client for which of the following?
Correct Answer: C
Rationale: In heart failure, fluid boluses can lead to pulmonary edema, so monitoring for lung crackles is critical to detect fluid overload.
Question 2 of 5
A 3-year-old is admitted with croup. Which intervention should the nurse prioritize?
Correct Answer: A
Rationale: Racemic epinephrine is the priority for croup to reduce airway swelling and relieve stridor, addressing the immediate respiratory distress.
Question 3 of 5
A client receives morphine for postoperative pain. Which of the following assessments should the nurse include in the client's plan of care?
Correct Answer: C
Rationale: Morphine can cause sedation and altered mental status, requiring regular assessment to monitor for adverse effects.
Question 4 of 5
A client with a diagnosis of Parkinson's disease is prescribed ropinirole (Requip). The nurse should monitor the client for which of the following side effects?
Correct Answer: B
Rationale: Ropinirole, a dopamine agonist, commonly causes drowsiness, which the nurse should monitor in Parkinson's clients.
Question 5 of 5
Which procedure should be avoided in order to help prevent the transmission of the human immunodeficiency virus (HIV) from a positive pregnant mother to her fetus during the intrapartum period?
Correct Answer: D
Rationale: Health care professionals must use caution during the intrapartal period to reduce the risk of the transmission of HIV to the fetus. Any procedure that exposes blood or body fluids from the mother to the fetus should be avoided. Direct (internal) fetal monitoring is a procedure that may expose the fetus to maternal blood or body fluids and therefore should be avoided. None of the remaining options are invasive measures that place the fetus at risk in the intrapartum period.