NCLEX-RN
NCLEX RN Questions with Detailed Explanations Questions
Extract:
Question 1 of 5
The nurse is preparing to care for a client who has undergone esophagogastroduodenoscopy (EGD). After checking the vital signs, what should be the nurse's next priority?
Correct Answer: C
Rationale: The nurse places highest priority on assessing for the return of the gag reflex, which is part of maintaining the client's airway. The nurse should also monitor the client for sharp pain (may indicate a potential complication) and heartburn. The client would receive warm gargles, but this cannot be done until the gag reflex has returned.
Question 2 of 5
A client is scheduled for a colonoscopy. Which of the following instructions should the nurse include in the pre-procedure teaching?
Correct Answer: A, C
Rationale: Clear liquid diet for 24 hours prevents residue, and sedation is common during colonoscopy. Regular medications may need adjustment, and overnight stays are not typical.
Question 3 of 5
Which oral contraceptive is considered safe for use while breast-feeding because it will not affect the breast milk or breast-feeding?
Correct Answer: C
Rationale: Progestin-only contraceptives are safe during breast-feeding, as they do not affect milk production.
Question 4 of 5
A client with a history of heart failure is prescribed valsartan (Diovan). The nurse should monitor the client for which of the following side effects?
Correct Answer: A
Rationale: Valsartan, an ARB, can cause hyperkalemia, requiring monitoring of potassium levels.
Question 5 of 5
Which member of the multidisciplinary team would you most likely collaborate with when your pediatric client has had a traumatic amputation one or more months ago?
Correct Answer: D
Rationale: A prosthetist specializes in designing and fitting prosthetic limbs, making them the most appropriate team member to collaborate with for a pediatric client with a traumatic amputation.