NCLEX Questions, NCLEX-RN Exam Questions, NCLEX-RN Questions

Extract:

Question 1 of 5

The nurse is teaching a mother regarding treatment for pediculosis capitis. Which information should be given to the mother?

Correct Answer: B

Rationale: Washing bed linens in hot water kills lice and prevents reinfestation in pediculosis capitis (head lice). Treatment is safe for children does not require a year of therapy and is topical not intravenous.

Question 2 of 5

A type I diabetic client delivers a male newborn. The newborn is 45 minutes old. What is the primary nursing goal in the nursery during the first hours for this newborn?

A. Bonding B. Maintain normal blood sugar C. Maintain normal nutrition D. Monitor intake and output

Correct Answer: B

Rationale: The infant will be at risk for hypoglycemia because of excess insulin production.

Question 3 of 5

A 2-year-old boy fell out of bed and has a subdural hematoma. When his mother leaves him for the first time, you will expect the child to:

A. Be comforted when he is held B. Cry C. Not notice that his mother has left D. Withdraw and become listless

Correct Answer: B

Rationale: This baby probably will cry, which should be prevented because it will increase his intracranial pressure (ICP). Asking the mother to wait until the baby is asleep may help.

Question 4 of 5

The blood alcohol concentration of a client admitted following a motor vehicle accident is 460 mg/dL. The nurse should give priority to monitoring the client for:

A. Loss of coordination B. Respiratory depression C. Visual hallucinations D. Tachycardia

Correct Answer: B

Rationale: A blood alcohol level of 460 mg/dL (0.46%) is life-threatening and can cause respiratory depression, a critical concern requiring close monitoring. Coordination loss and tachycardia are less immediate.

Question 5 of 5

A client has been in labor for 10 hours. Her contractions have become hypoactive and slowed in duration. The fetus is at 0 station, cervix is dilated 8 cm and effaced 90%. The physician orders an oxytocin (Pitocin) infusion to be started at once. The RN begins the oxytocin infusion. It is important that the RN discontinue the infusion if which one of the following occur?

A. The client's contractions are <2 minutes apart. B. Duration of the contractions are 60 seconds. C. The uterus relaxes between contractions. D. The client complains that she is tired.

Correct Answer: A

Rationale: Contractions less than 2 minutes apart indicate hyperstimulation, which can reduce uterine blood flow, leading to fetal hypoxia. The infusion should be discontinued to prevent complications.