NCLEX-RN
NCLEX RN Exam Questions Questions
Extract:
Question 1 of 5
The nurse is teaching the mother of an infant with galactosemia. Which information should be included in the nurse's teaching?
Correct Answer: A
Rationale: Galactosemia requires a lactose-free diet, as galactose is harmful. Checking labels for lactose is critical. Galactose cannot be added, siblings may be affected, and galactose is not essential.
Question 2 of 5
The nurse is providing discharge teaching for a client taking naltrexone (Revia). The nurse should instruct the client to avoid which over-the-counter medication:
Correct Answer: C
Rationale: Naltrexone, used for opioid or alcohol dependence, can interact with cold medicines containing dextromethorphan, which may have opioid-like effects, reducing naltrexone’s efficacy. Acetaminophen, ibuprofen, and antihistamines do not have significant interactions.
Question 3 of 5
When assessing fetal heart rate status during labor, the monitor displays late decelerations with tachycardia and decreasing variability. What action should the nurse take?
Correct Answer: D
Rationale: This is not a normal occurrence. Late decelerations need prompt intervention for immediate infant recovery.
To increase O2 perfusion to the unborn infant, the mother should be placed on her left side. IV fluids should be increased, not decreased. Immediate action is warranted, such as reporting findings, turning mother on left side, administering O2, discontinuing oxytocin (Pitocin), assessing maternal blood pressure and the labor process, preparing for immediate cesarean delivery, and explaining plan of action to client.
Question 4 of 5
A client is being discharged on warfarin (Coumadin), an oral anticoagulant. The nurse instructs him about using this drug. Which following response by the client indicates the need for further teaching?
Correct Answer: C
Rationale: Using an electric razor prevents the risk of cuts while shaving. Any physician or dentist should be informed of anticoagulant therapy because of the risk of bleeding due to a prolonged PT. The client should be instructed to consult with his physician. Aspirin is avoided because it potentiates the effects of oral anticoagulants by interfering with platelet aggregation. Identification bracelets are necessary to direct treatment, especially in an emergency situation.
Question 5 of 5
The nurse is performing an assessment on a newborn with suspected coarctation of the aorta. Which finding is most likely?
Correct Answer: A
Rationale: Coarctation of the aorta causes narrowed aortic flow, leading to diminished femoral pulses. Murmurs may occur, but pulse discrepancy is most characteristic.