NCLEX-RN
NCLEX-RN Exam Questions
Extract:
Question 1 of 5
When assessing the client with acute arterial occlusion, the nurse would expect to find:
Correct Answer: B
Rationale: Acute arterial occlusion causes ischemia, leading to tissue necrosis, which may present as minute blackened areas on the toes, indicating severe ischemia.
Question 2 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?
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.
Question 3 of 5
The nurse is caring for a neonate whose mother is diabetic. The nurse will expect the neonate to be:
Correct Answer: C
Rationale: Neonates of diabetic mothers are often large for gestational age (macrosomic) due to maternal hyperglycemia and are at risk for hypoglycemia after birth due to high insulin levels. Hyperglycemia and small size are less common.
Question 4 of 5
A 55-year-old man is admitted to the hospital with complaints of fatigue, jaundice, anorexia, and clay-colored stools. His admitting diagnosis is 'rule out hepatitis.' Laboratory studies reveal elevated liver enzymes and bilirubin. In obtaining his health history, the nurse should assess his potential for exposure to hepatitis. Which of the following represents a high-risk group for contracting this disease?
Correct Answer: B
Rationale: Oncology nurses are at high risk due to exposure to invasive procedures and potential sources of infection, unlike the other groups listed.
Question 5 of 5
The physician prescribes phenytoin (Dilantin) for a client with seizure disorders. Phenytoin can only be mixed with which of the following solutions?
Correct Answer: D
Rationale: Phenytoin is compatible only with normal saline and should be mixed only with normal saline for administration.