NCLEX-RN
NCLEX-RN Exam Practice Questions
Extract:
Question 1 of 5
The nurse is discussing breastfeeding with a postpartum client. Breastfeeding is contraindicated in the postpartum client with:
Correct Answer: B
Rationale: HIV is a contraindication for breastfeeding due to the risk of viral transmission to the infant. Diabetes hypertension and thyroid disease are not absolute contraindications though they require management.
Question 2 of 5
A client has an order to administer cisplatin (Platinol). Which drug would the nurse expect to be ordered to reduce renal toxicity from the cisplatin infusion?
Correct Answer: A
Rationale: Amifostine protects kidneys from cisplatin’s nephrotoxicity by neutralizing free radicals. Dexrazoxane (
B) protects the heart, Mesna (
C) prevents bladder toxicity, and Pamidronate (
D) treats hypercalcemia.
Question 3 of 5
The nurse is teaching a client how to perform monthly testicular self-examination (TSE) and states that it is best to perform the procedure right after showering. This statement is made by the nurse based on the knowledge that:
Correct Answer: C
Rationale: Nudity is not a trigger for reminding males to perform TSE. Testicles become more firm when exposed to cool temperatures, but not large and bulky. The testicles will be lower and more easily palpated with warmer temperatures. A protective mechanism of the body to protect sperm production is for the scrotum to pull closer to the body when exposed to cooler temperatures. The examination should not be painful.
Question 4 of 5
A 48-year-old male client is hospitalized with mild ascites, bruising, and jaundice. He has a 20-year history of alcohol abuse. The client is diagnosed with cirrhosis. His serum ammonia level is high, indicating hepatic encephalopathy. He has esophageal varices. Which of the following may cause the varices to rupture?
Correct Answer: A
Rationale: Lifting heavy objects will increase intrathoracic pressure, thus placing the client at risk for rupturing esophageal varices.
Question 5 of 5
A 24-hours' postpartum client complains of discomfort at the episiotomy site. On assessment, the nurse notes the episiotomy is without signs of infection. To relieve the discomfort, the nurse should first:
Correct Answer: A
Rationale: Warm, moist heat will promote circulation and provide comfort. A sitz bath should be tried before medication is given. Pain medication can be given when other comfort measures such as a sitz bath and topical applications are ineffective. Kegel exercises facilitate sitting by decreasing tension on the episiotomy. They will not be effective for pain control or sustained comfort level. Ice packs are appropriate to apply in the first 12 hours post-delivery to produce vasoconstriction and to reduce edema to the area.