NCLEX-RN
NCLEX RN High-Yield Questions Questions
Extract:
Question 1 of 5
When assessing a child receiving tobramycin sulfate (Nebcin), which findings would indicate that the child is experiencing adverse effects? Select all that apply.
Correct Answer: C, E
Rationale:
Tobramycin, an aminoglycoside, can cause nephrotoxicity (indicated by weight gain from fluid retention), ototoxicity (ringing in the ears), and allergic reactions (rash). Fever, increased blood pressure, and decreased heart rate are not typical adverse effects.
Question 2 of 5
A client with cancer has been advised by the physician that he should have chemotherapy. The client is concerned with chemotherapy and wants to take herbal treatments instead. The nurse's best response to the client is which of the following?
Correct Answer: D
Rationale: Exploring the client's concerns about chemotherapy fosters open communication and allows the nurse to address specific fears or misconceptions, potentially guiding the client toward informed decision-making. Options A, B, and C may shut down dialogue or provide incomplete information.
Question 3 of 5
After a child returns from the postanesthesia care unit after surgery, which of the following should the nurse assess first?
Correct Answer: B
Rationale: Assessing pain first ensures the child's comfort and guides further care, as pain can affect recovery and other assessments.
Question 4 of 5
A client with a history of gout is prescribed allopurinol. What should the nurse include in the teaching?
Correct Answer: B
Rationale: Increasing fluid intake promotes uric acid excretion, reducing the risk of gout flares.
Question 5 of 5
A client is being discharged after undergoing a transurethral resection of the prostate (TURP). The nurse teaches the client to expect which variation in normal urine color for several days after the procedure?
Correct Answer: B
Rationale: The client should expect that the urine will be pink-tinged for several days after this procedure. Dark red urine may be present initially, especially with inadequate bladder irrigation, and if it occurs, it must be corrected. Clear urine is not expected after surgery; cloudy urine could indicate an infection.