NCLEX Questions, Mock NCLEX RN Exam Questions, NCLEX-RN Ques

Extract:

Question 1 of 5

The nurse is assisting in the care of a patient who is two days post-operative from a hemorrhoidectomy. The nurse would be correct in instructing the patient to:

Correct Answer: D

Rationale: Sitz baths after bowel movements promote healing and relieve pain post-hemorrhoidectomy by keeping the area clean and reducing inflammation. High-fiber diets are encouraged, ice packs are typically used earlier, and laxatives may be prescribed but are not the priority.

Question 2 of 5

An obstetrical client is admitted in active labor. During examination,the nurse notes a papular lesion on the perineum. Which initial action is most appropriate?

A. Document the finding B. Report the finding to the physician C. Prepare the client for a C-section D. Continue primary care as prescribed

Correct Answer: B

Rationale: A papular lesion on the perineum during labor could indicate an infectious condition (e.g. herpes simplex virus) which poses risks to the newborn. Reporting to the physician is the most appropriate initial action to determine management such as the need for a C-section.

Question 3 of 5

A client with a history of hypothyroidism is admitted with complaints of fatigue. The nurse should expect the client to have:

A. Weight gain B. Weight loss C. Tachycardia D. Diarrhea

Correct Answer: A

Rationale: Hypothyroidism slows metabolism, leading to weight gain, fatigue, and other symptoms like cold intolerance and constipation.

Question 4 of 5

The most appropriate method of evaluating whether the diet of a child with cystic fibrosis is meeting his caloric needs is:

A. Careful monitoring of weight loss or gain B. Carefully recording amounts and types of foods ingested C. Keeping a strict account of the number of calories ingested D. Keeping a careful account of the amount of pancreatic enzymes ingested

Correct Answer: A

Rationale: Consistent weight gain, even if it is slow, is an indication that the child is eating and digesting sufficient calories.

Question 5 of 5

A family by court order undergoes treatment by a family therapist for child abuse. The nurse, who is the child's case manager knows that treatment has been effective when:

A. The child is removed from the home and placed in foster care B. The child's parents identify the ways in which he is different from the rest of the family C. The child's father is arrested for child abuse D. The child's parents can identify appropriate behaviors for children in his age group

Correct Answer: D

Rationale: Removing an abused child from the home and placement in a foster home are not the desired outcome of treatment. Children who are perceived as 'different' from the rest of the family are more likely to be abused. Although legal action may be taken against abusive parents, it is not an indicator of an effective treatment program. Identification of age-appropriate behaviors is essential to the role of parents, because misunderstanding children's normal developmental needs often contributes to abuse or neglect.