NCLEX-RN
NCLEX RN Exam Questions Questions
Extract:
Question 1 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.
Question 2 of 5
The client is prescribed furosemide (Lasix) for heart failure. Which laboratory value should the nurse monitor closely?
Correct Answer: A
Rationale: Furosemide, a loop diuretic, causes potassium loss, risking hypokalemia, which can lead to arrhythmias. Calcium, hemoglobin, and BUN are less directly affected.
Question 3 of 5
A 26-year-old client is admitted to the labor, delivery, recovery, postpartum unit. The nurse completes her assessment and determines the client is in the first stage of labor. The nurse should instruct her:
Correct Answer: C
Rationale: This nursing action may cause hyperventilation. This nursing action could cause inferior vena cava syndrome. The client is allowed to push only after complete dilation during the second stage of labor. The nurse needs to know the stages of labor. If the client pushes before dilation, it could cause cervical edema and/or edema to the fetal scalp; both of these could contribute to increased risk of complications.
Question 4 of 5
In client teaching, the nurse should emphasize that fetal damage occurs more frequently with ingestion of drugs during:
Correct Answer: A
Rationale: The first trimester is the period of organogenesis, when the fetus is most susceptible to teratogenic effects of drugs.
Question 5 of 5
A client with a history of gout is prescribed allopurinol (Zyloprim). Which laboratory value should the nurse monitor closely?
Correct Answer: A
Rationale: Allopurinol reduces uric acid production in gout. Monitoring serum uric acid ensures therapeutic effect. Glucose (
B), potassium (
C), and hemoglobin (
D) are not directly affected.