NCLEX-RN
Free NCLEX RN Exam Practice Questions Questions
Extract:
Question 1 of 5
The nurse is caring for a client who has just undergone a thyroidectomy. Which of the following complications should the nurse monitor for in the immediate postoperative period?
Correct Answer: A
Rationale: Hypocalcemia is a potential complication post-thyroidectomy due to accidental removal or damage to the parathyroid glands.
Question 2 of 5
A client with schizophrenia is prescribed risperidone (Risperdal). The nurse should teach the client to report which side effect immediately?
Correct Answer: C
Rationale: Tremors may indicate extrapyramidal side effects, such as parkinsonism, which require prompt reporting to adjust the dose or add an antiparkinsonian medication.
Question 3 of 5
When infusing total parenteral nutrition (TPN), the nurse should assess the client for which of the following complications?
Correct Answer: C,D
Rationale: TPN can cause hyperglycemia due to high glucose content and infection due to catheter use, both requiring vigilant monitoring.
Question 4 of 5
The doctor orders a midstream urine specimen for your client who is an alert, oriented and ambulatory female client. What element should you include in your instructions to this client on the proper manner to collect this specimen?
Correct Answer: C
Rationale: For a midstream urine specimen, the perineal area should be cleansed from front to back (inner to outer labia) using a new antiseptic wipe for each stroke to prevent contamination.
Question 5 of 5
A client with a history of type 2 diabetes mellitus is prescribed pioglitazone (Actos). The nurse should monitor the client for which of the following side effects?
Correct Answer: B
Rationale: Pioglitazone can cause weight gain due to fluid retention, requiring monitoring in diabetic clients.