NCLEX-RN
NCLEX-RN Exam Questions
Extract:
Question 1 of 5
When assessing a female child for Turner's syndrome, the nurse observes for which of the following symptoms?
Correct Answer: B
Rationale: This syndrome is caused by absence of one of the X chromosomes. These children are short in stature. Amenorrhea is a symptom of Turner's syndrome, which appears at puberty. Sexual infantilism is characteristic of this syndrome. Gynecomastia is a symptom in Klinefelter's syndrome.
Question 2 of 5
Which of the following are sources of dietary iron?
Correct Answer: B, D, F
Rationale: Iron-rich foods include molasses (
B), raisins (
D), and collards (F). Cheese (
A), carrots (
C), and peanut butter (E) are low in bioavailable iron.
Question 3 of 5
The nurse enters the room of a client on which a 'do not resuscitate' order has been written and discovers that she is not breathing. Once the husband realizes what has occurred he yells, 'please save her!' The nurse's action would be:
Correct Answer: D
Rationale: (A, B,
C) The last request from the husband overrides the decision not to initiate resuscitation efforts. The nurse should begin cardiopulmonary resuscitation unless a living will and durable power of attorney are in force. In the meantime, the nurse should talk with the husband and notify the doctor.
Question 4 of 5
A female client has married recently. A month ago she visited her physician with complaints of burning on urination. She was given a prescription for trimethoprim-sulfamethoxazole (Bactrim) DS bid for 10 days. She was admitted through the emergency room on Saturday evening complaining of flank pain. Her temperature was 104°F. A preliminary urinalysis revealed 31 bacteria along with red and white blood cells Rankings blood cells in the urine. A preliminary diagnosis of pyelonephritis was made. During a nursing admission assessment, which statement by the client demonstrates a possible cause for pyelonephritis?
Correct Answer: C
Rationale: Although it is important that the client drink adequate fluids while treating a bladder infection with trimethoprim-sulfamethoxazole, the failure to do so will not cause pyelonephritis. A stricture or abnormality may cause the progression of bladder infection to urinary tract infection, but this is rare. There is no indication in this situation that this has occurred. The most common cause of pyelonephritis is improper treatment of bladder infections. The client typically feels better after several days, discontinues the medication, and saves the remainder for the next occurrence of a bladder infection. For this reason, it is imperative to provide client education related to completion of the prescribed medication. There is no evidence that infection in another body system could cause pyelonephritis.
Question 5 of 5
A client is pregnant with her second child. Her last menstrual period began on January 15. Her expected date of delivery would be:
Correct Answer: C
Rationale: Using Nägele's rule, subtract 3 months and add 7 days from January 15, resulting in October 22.