NCLEX-RN
NCLEX RN Exam Questions Questions
Extract:
Question 1 of 5
The nurse is caring for a 3-month-old girl with meningitis. She has a positive Kernig's sign. The nurse expects her to react to discomfort if she:
Correct Answer: B
Rationale: Discomfort with ankle dorsiflexion is not expected with meningitis. Spinal flexion, flexing the neck or the hips with legs extended, causes discomfort if the meninges are irritated. Discomfort with wrist flexion is not expected with meningitis. Rotating the cervical spine may cause discomfort with meningitis, but pain with flexion is more indicative of meningeal irritation.
Question 2 of 5
A client develops complications following a hysterectomy. Blood cultures reveal Pseudomonas aeruginosa. The nurse expects that the physician would order an appropriate antibiotic to treat P. aeruginosa such as:
Correct Answer: A
Rationale: Cefoperazone is indicated in the treatment of infection with Pseudomonas aeruginosa. Clindamycin is not indicated in the treatment of infection with P. aeruginosa. Dicloxacillin is not indicated in the treatment of infection with P. aeruginosa. Erythromycin is not indicated in the treatment of infection with P. aeruginosa.
Question 3 of 5
The nurse is teaching a client in preparation for a colonoscopy. Which would be involved in the teaching session?
Correct Answer: A, C, E
Rationale: Colonoscopy prep includes a liquid diet (
A), laxative bowel prep (
C), and NPO 8 hours prior (E). Sedation is standard (
B), and enemas (
D) are not routine on admission.
Question 4 of 5
A male client is undergoing cardiac tests. He has been instructed to wear a Holter monitor. The nurse knows she has included the appropriate information in her teaching when the client tells her:
Correct Answer: C
Rationale: The client should leave the electrodes in place during the entire time the test is ordered. He should not even remove the electrodes for bathing. The Holter monitor will record cardiac electrical activity but will not record damage to his myocardium. The client should keep a record of all of his activities so the physician can correlate the ECG findings with his activities. The client should continue doing his regular activities. The purpose of the Holter monitor is to record heart activity during routine activities.
Question 5 of 5
The nurse is caring for a client with a diagnosis of postpartum endometritis. Which medication is most likely to be ordered?
Correct Answer: B
Rationale: Postpartum endometritis is a bacterial infection of the uterus treated with antibiotics (e.g. ampicillin gentamicin). Magnesium sulfate methylergonovine and betamethasone are used for other obstetric conditions.