NCLEX-RN
NCLEX RN Exam Questions Questions
Extract:
Question 1 of 5
Which instruction should be given to the client who has been prescribed a dry powder inhaler for treatment of COPD?
Correct Answer: A, D, E
Rationale: Dry powder inhaler use involves removing the cap and shaking (
A), placing the mouthpiece in the mouth (
D), and weekly dry cleaning (E). Rinsing (
B) risks moisture damage, and spacers (
C) are typically for metered-dose inhalers.
Question 2 of 5
In client teaching, the nurse should emphasize that fetal damage occurs more frequently with ingestion of drugs during:
Correct Answer: A
Rationale: The first trimester is the period of organogenesis, when the fetus is most susceptible to teratogenic effects of drugs.
Question 3 of 5
The nurse is teaching a client with a history of GERD about lifestyle modifications. The nurse should tell the client to:
Correct Answer: A
Rationale: Elevating the head of the bed prevents acid reflux in GERD, reducing esophageal irritation.
Question 4 of 5
A 4-year-old child is being discharged from the hospital after being treated for severe croup. Which one of the following instructions should the nurse give to the child's mother for the home treatment of croup?
Correct Answer: A
Rationale: Initial home treatment of croup includes placing the child in an environment of high humidity to liquefy and mobilize secretions. Antihistamines should be avoided because they can cause thickening of secretions. Drooling is a characteristic sign of airway obstruction and the child should be taken directly to the emergency room. Crying increases respiratory distress and hypoxia in the child with croup. The nurse should promote methods that will calm the child.
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.