NCLEX-RN
NCLEX RN Exam Questions Questions
Extract:
Question 1 of 5
The nurse is caring for a client with a history of a pulmonary embolism who is receiving Alteplase (Activase). The nurse should:
Correct Answer: A
Rationale: Alteplase, a thrombolytic, increases bleeding risk, requiring close monitoring for signs like hematuria or hematoma. Vitamin K, glucose, and fluid restriction are unrelated.
Question 2 of 5
A 4-year-old child is being discharged from the hospital after being treated for severe croup. Which one of the following instructions should the nurse give to the child's mother for the home treatment of croup?
Correct Answer: A
Rationale: Initial home treatment of croup includes placing the child in an environment of high humidity to liquefy and mobilize secretions. Antihistamines should be avoided because they can cause thickening of secretions. Drooling is a characteristic sign of airway obstruction and the child should be taken directly to the emergency room. Crying increases respiratory distress and hypoxia in the child with croup. The nurse should promote methods that will calm the child.
Question 3 of 5
The nurse is caring for a client with a history of chronic obstructive pulmonary disease (COPD). The nurse should give priority to:
Correct Answer: A
Rationale: COPD impairs gas exchange, so monitoring oxygen saturation is critical to assess respiratory function and guide oxygen therapy.
Question 4 of 5
The most frequent cause of early postpartum hemorrhage is:
Correct Answer: C
Rationale: The most frequent causes of hemorrhage in the postpartal period are related to an interference with involution of the uterus. Uterine atony is the most frequent cause, occurring in the first 24 hours after delivery.
Question 5 of 5
A client with a C-34 fracture has just arrived in the emergency room. The primary nursing intervention is:
Correct Answer: B
Rationale: If cervical spine injury is suspected, the airway should be maintained using the jaw thrust method that also protects the cervical spine. Primary intervention is protection of the airway and adequate ventilation. All other interventions are secondary to adequate ventilation.