NCLEX-RN
NCLEX RN Question Bank Free Questions
Extract:
Question 1 of 5
The nurse is giving care to an infant in an oxygen hood (see figure). The nurse should do which of the following. Select all that apply.
Correct Answer: A,B,E
Rationale: When an oxygen hood is used, the nurse should be sure the oxygen source is not directed on the infant’s face to avoid skin irritation. Mobiles can be used to provide visual stimulation, but they should not be placed inside of the hood where they are a potential choking hazard. It is not necessary to restrain the infant unless there is an indication to do so, and the physician has written the order. There should be as little movement in and out of the hood as possible in order to maintain the warm and humid oxygen levels. The nurse should encourage the parents to visit the child and provide verbal and tactile stimulation.
Question 2 of 5
A client with a history of pancreatitis is admitted with abdominal pain. The nurse should expect which of the following laboratory findings?
Correct Answer: A
Rationale: Elevated amylase and lipase are hallmark laboratory findings in pancreatitis due to pancreatic enzyme release.
Question 3 of 5
The nurse is caring for a client taking memantine. Which data should the nurse monitor for this client?
Correct Answer: C
Rationale: Memantine is a medication used to treat moderate to severe Alzheimer's disease. This medication needs to be avoided in clients with severe renal dysfunction, and a reduced dosage is needed in moderate renal dysfunction. The other options are not specifically associated with this medication.
Question 4 of 5
The best way to determine whether or not a medication is compatible with a particular intravenous fluid is to:
Correct Answer: B
Rationale: A compatibility chart is the most reliable and standardized method to determine if a medication is compatible with an IV fluid, ensuring safety and preventing adverse reactions.
Question 5 of 5
A child with the diagnosis of Hirschsprung's disease has a temporary colostomy. The nurse provides instructions to the parents about colostomy care at home. Which statement by the parents indicates their understanding of the instructions?
Correct Answer: B
Rationale: The parents are instructed to report signs of skin breakdown or stomal complications, such as ribbonlike stools or failure to pass flatus or stools, to the primary health care provider or the nurse. Moist, red granulation tissue may grow around an ostomy site and does not require special treatment. The remaining options are incorrect actions and considered contraindicated.