NCLEX-RN
NCLEX RN Exam Questions Questions
Extract:
Question 1 of 5
Which observation would the nurse expect to make after an amniotomy?
Correct Answer: C
Rationale: After an amniotomy the nurse expects clear amniotic fluid. Greenish fluid suggests meconium dark yellow may indicate infection and red fluid indicates bleeding all of which are abnormal.
Question 2 of 5
The nurse is teaching a client with peritoneal dialysis how to manage exchanges at home. The nurse should tell the client to notify the doctor immediately if:
Correct Answer: A
Rationale: Cloudy dialysate returns suggest peritonitis, a serious complication of peritoneal dialysis, requiring immediate medical attention.
Question 3 of 5
A client with SIADH is admitted with severe hyponatremia. Which type of intravenous solution would the nurse expect to be ordered?
Correct Answer: B
Rationale: SIADH causes water retention and severe hyponatremia. Hypertonic 3% sodium chloride is used to correct low sodium levels by drawing water out of cells. Isotonic or hypotonic fluids may worsen hyponatremia and colloids are not indicated.
Question 4 of 5
A client who is 7 months pregnant is diagnosed with pyelonephritis. The nurse anticipates the physician ordering:
Correct Answer: C
Rationale: Ampicillin is a safe antibiotic for pyelonephritis in pregnancy, with no known teratogenic effects.
Question 5 of 5
A client develops complications following a hysterectomy. Blood cultures reveal Pseudomonas aeruginosa. The nurse expects that the physician would order an appropriate antibiotic to treat P. aeruginosa such as:
Correct Answer: A
Rationale: Cefoperazone is indicated in the treatment of infection with Pseudomonas aeruginosa. Clindamycin is not indicated in the treatment of infection with P. aeruginosa. Dicloxacillin is not indicated in the treatment of infection with P. aeruginosa. Erythromycin is not indicated in the treatment of infection with P. aeruginosa.