NCLEX-RN
NCLEX RN Test Bank Questions PDF Questions
Extract:
Question 1 of 5
Which of the following is a commonality that is shared in terms of both restraints and urinary catheters?
Correct Answer: A
Rationale: Both restraints and urinary catheters can lead to infections restraints through skin breakdown and catheters through urinary tract infections if not managed properly.
Question 2 of 5
The client is receiving propantheline bromide (Pro-Banthine) to treat cholecystitis. The nurse should evaluate the client's response to the medication by observing for which of the following adverse effects?
Correct Answer: A
Rationale: Propantheline, an anticholinergic, can cause urine retention due to reduced bladder contractility. Diarrhea, hypertension, and diaphoresis are not typical side effects.
Question 3 of 5
The nurse assesses for euphoria in a client with multiple sclerosis, looking for which of the following characteristic clinical manifestations?
Correct Answer: B
Rationale: Euphoria in multiple sclerosis is characterized by an exaggerated sense of well-being, often disproportionate to the client's condition.
Question 4 of 5
The nurse is teaching a client with a new diagnosis of hypertension about dietary modifications. Which of the following recommendations is most effective?
Correct Answer: B
Rationale: Reducing saturated fat intake lowers cholesterol and blood pressure, benefiting hypertension management.
Question 5 of 5
When a rubella vaccine is administered to a client who delivered a healthy newborn 2 days ago, the nurse provides instructions to the client regarding the potential risks associated with this vaccination. Which statement by the client indicates an understanding of the medication?
Correct Answer: D
Rationale: Rubella vaccine is a live attenuated virus that evokes an antibody response and provides immunity for approximately 15 years. Because rubella is a live vaccine, it will act as the virus and is potentially teratogenic in the organogenesis phase of fetal development. The client needs to be informed about the potential effects this vaccine may have and the need to avoid becoming pregnant for a period of 2 to 3 months afterward. Sunlight has no effect on the person who is vaccinated. The vaccine may cause local or systemic reactions, but all are mild and short-lived. Abstinence from sexual intercourse is not necessary, unless another form of effective contraception is not being used.