NCLEX-RN
NCLEX-RN Exam Questions
Extract:
Question 1 of 5
The physician orders the removal of an in-dwelling catheter the second post-operative day for a client with a prostatectomy. The client complains of pain and dribbling of urine the first time he voids. The nurse should tell the client that:
Correct Answer: D
Rationale: Pain and dribbling post-catheter removal after prostatectomy are common due to bladder irritation and will improve with time. Compresses, exercises, or reinsertion are not typically needed.
Question 2 of 5
A 54-year-old client is admitted to the hospital with a possible gastric ulcer. He is a heavy smoker. When discussing his smoking habits with him, the nurse should advise him to:
Correct Answer: C
Rationale: Smoking on a full stomach minimizes nicotine's effect on gastric acid, reducing ulcer irritation. Other options still stimulate gastric acid secretion.
Question 3 of 5
Prior to an amniocentesis, a fetal ultrasound is done in order to:
Correct Answer: C
Rationale: Amniocentesis involves removal of amniotic fluid for evaluation. The needle, inserted through the abdomen, is guided by ultrasound to avoid needle injuries, and the test evaluates the position of the placenta and the fetus.
Question 4 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:
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 5 of 5
While caring for a client in the second stage of labor, the nurse notices a pattern of early decelerations. The nurse should:
Correct Answer: D
Rationale: Early decelerations are benign, caused by fetal head compression during labor, and require only documentation, as they do not indicate fetal distress.