NCLEX Questions, NCLEX-RN Exam Practice Questions, NCLEX-RN Questions, Nurselytic

Questions 157

NCLEX-RN

Home > NCLEX-RN > NCLEX-RN Exam Practice
NCLEX-RN Test Bank

NCLEX-RN Exam Practice Questions

Extract:


Question 1 of 5

The nurse is planning room assignments for the day. Which client should be assigned to a private room if only one is available?

Correct Answer: A

Rationale: MRSA (methicillin-resistant Staphylococcus aureus) requires contact precautions and a private room to prevent transmission. Diabetes pancreatitis and Addison’s disease do not require isolation unless other infectious conditions are present.

Question 2 of 5

A 25-year-old outpatient presents with a diagnosis of compulsive personality disorder. His coworkers become annoyed with his rigid, perfectionistic manner and preoccupation with trivial details and schedules. A nursing intervention appropriate for this client would include:

Correct Answer: D

Rationale: This answer is incorrect. The client will work hard at the activity instead of enjoying it. This answer is incorrect. The nurse should allow the client to discuss these thoughts, within limits, not to avoid discussing them. This answer is incorrect. The compulsive client tends to control time to excess. It should not be encouraged. This answer is correct. A contract with the client regarding the amount of time that will be spent discussing the compulsive activities is appropriate. Time allotted should be gradually decreased.

Question 3 of 5

The client is admitted with a diagnosis of gestational trophoblastic disease. Which symptom is most characteristic?

Correct Answer: A

Rationale: Elevated hCG levels are the most characteristic symptom of gestational trophoblastic disease reflecting abnormal trophoblastic proliferation. Fetal heart tones are absent uterine size is larger and fever is not typical.

Question 4 of 5

A client with a history of a burn injury is receiving Silvadene (silver sulfadiazine). The nurse should monitor the client for:

Correct Answer: A

Rationale: Silver sulfadiazine can cause neutropenia, requiring monitoring of white blood cell counts. Hyperkalemia, hypoglycemia, and hypertension are not typical side effects.

Question 5 of 5

The nurse is caring for a client with a diagnosis of gestational trophoblastic disease. Which intervention is most appropriate?

Correct Answer: A

Rationale: Gestational trophoblastic disease requires monitoring hCG levels to assess for resolution or progression to malignancy (e.g. choriocarcinoma).
Tocolytics fetal monitoring and vaginal delivery are not indicated as there is no viable fetus.

Similar Questions

An 80-year-old male client with a history of arteriosclerosis is experiencing severe pain in his left leg that started approximately 20 minutes ago. When performing the admission assessment, the nurse would expect to observe which of the following:
A client is having an amniocentesis. Prior to the procedure, an ultrasound is performed. In preparing the client, the nurse explains the reason for a sonogram in this situation to be:
Four days after admission for cirrhosis of the liver, the nurse observes the following when assessing a male client: increased irritability, asterixis, and changes in his speech pattern. Which of the following foods would be appropriate for his bedtime snack?
A client has been instructed in how to take her nitroglycerin tablets. The nurse giving her instructions knows the client understands the information when she tells her:
A 20-year-old client presents to the obstetrics-gynecology clinic for the first time. She tells the nurse that she is pregnant and wants to start prenatal care. After collecting some initial assessment data, the nurse measures her fundal height to be at the level of the umbilicus. The nurse estimates the fetal gestational age to be approximately:

Access More Questions!

NCLEX RN Basic

$89/ 30 days

 

NCLEX RN Premium

$150/ 90 days