NCLEX-RN
NCLEX RN High-Yield Questions Questions
Extract:
Question 1 of 5
Which is a sign of thrombocytopenia?
Correct Answer: A
Rationale: Petechiae, small red or purple spots on the skin, are a hallmark sign of thrombocytopenia due to low platelet counts.
Question 2 of 5
The nurse is assessing a client with a suspected anaphylactic reaction. Which of the following interventions is the highest priority?
Correct Answer: A
Rationale: Administering epinephrine is the highest priority in anaphylaxis to reverse airway constriction and hypotension.
Question 3 of 5
A client is preparing for discharge 10 days after a radical vulvectomy. The nurse determines that the client has the best understanding of the measures to prevent complications when the client expresses plans to engage in which activity after discharge?
Correct Answer: A
Rationale: The client should resume activity slowly, and walking is a beneficial activity. The client should know to rest when fatigue occurs. Activities to be avoided include driving, heavy housework, wearing tight clothing, crossing the legs, and prolonged standing or sitting. Sexual activity is usually prohibited for 4 to 6 weeks after surgery.
Question 4 of 5
A postmastectomy client has been found to have an estrogen receptor-positive tumor. The nurse interprets after reading this information in the pathology report that the client will most likely have which common follow-up treatment prescribed?
Correct Answer: C
Rationale: A common treatment for women with estrogen receptor-positive breast tumors is follow-up treatment with tamoxifen. This medication is classified as an antineoplastic agent and competes with estrogen for binding sites in the breast and other tissues. The medication may be administered for years after surgery. The remaining options suggest incorrect treatments.
Question 5 of 5
A client with a history of hypothyroidism is admitted with myxedema coma. The nurse should prioritize which of the following interventions?
Correct Answer: A
Rationale: Intravenous levothyroxine is the priority to correct severe hypothyroidism in myxedema coma.