NCLEX-RN
RN NCLEX Next Gen Questions Questions
Extract:
Question 1 of 5
The nurse is preparing to provide preoperative teaching with a client scheduled for radical neck dissection. Which topic should the nurse initially focus on?
Correct Answer: D
Rationale: The first step in client education is establishing what the client already knows. This allows the nurse to correct any misinformation or misunderstandings, determine the starting point for teaching, and plan and implement the education at the client's level. Although the remaining options can be a component of the plan, the first step in client education is establishing what the client already knows.
Question 2 of 5
A client is being treated for acute low back pain. Which of these clinical manifestations must be reported to the physician immediately?
Correct Answer: B
Rationale: New onset footdrop indicates possible nerve compression or damage, requiring immediate reporting to prevent permanent impairment. Other symptoms are common in low back pain and less urgent.
Question 3 of 5
A client with a history of cirrhosis is prescribed propranolol (Inderal). The nurse should monitor the client for which of the following therapeutic effects?
Correct Answer: A
Rationale: Propranolol reduces portal hypertension by decreasing portal vein pressure in cirrhosis.
Question 4 of 5
While obtaining the vital signs on a mother who delivered a healthy newborn 2 hours ago the nurse notes that the mother's temperature is 102°F. Which is the appropriate nursing action at this time?
Correct Answer: A
Rationale: Vital signs usually return to normal within the first hour postpartum if no complications arise. A slight elevation in the temperature may be noted if the client is experiencing dehydrating effects that can occur from labor. A temperature of 102°F indicates infection, and the primary health care provider should be notified. The remaining options are inaccurate nursing interventions for a temperature of 102°F 2 hours after delivery.
Question 5 of 5
Which procedure should be avoided in order to help prevent the transmission of the human immunodeficiency virus (HIV) from a positive pregnant mother to her fetus during the intrapartum period?
Correct Answer: D
Rationale: Health care professionals must use caution during the intrapartal period to reduce the risk of the transmission of HIV to the fetus. Any procedure that exposes blood or body fluids from the mother to the fetus should be avoided. Direct (internal) fetal monitoring is a procedure that may expose the fetus to maternal blood or body fluids and therefore should be avoided. None of the remaining options are invasive measures that place the fetus at risk in the intrapartum period.