NCLEX-RN
NCLEX RN Nursing Exam Questions
Extract:
Question 1 of 5
Which of the following nursing interventions has the highest priority for the client scheduled for an intravenous pyelogram?
Correct Answer: B
Rationale: Intravenous pyelogram uses iodine-based contrast, which can cause allergic reactions, especially in clients with shellfish/iodine allergies. Identifying allergies is the highest priority for safety.
Question 2 of 5
A client is being admitted with syndrome of inappropriate diuretic hormone. Which does the nurse expect to observe?
Correct Answer: B,D,E
Rationale: SIADH causes water retention, leading to hyponatremia, which can cause tachycardia (
B), hostility (
D), and muscle weakness (E). Increased thirst (
A) and polyuria (
C) are more associated with diabetes insipidus.
Question 3 of 5
The nurse should facilitate bonding during the postpartum period. What should the nurse expect to observe in the taking-hold phase?
Correct Answer: B
Rationale: In the taking-hold phase, the mother actively engages with the infant, such as calling the infant by name, indicating bonding.
Question 4 of 5
The nurse is caring for a client with a history of a mastectomy who is receiving radiation therapy. The nurse should teach the client to:
Correct Answer: C
Rationale: Avoiding sun exposure to the radiated area prevents further skin damage and irritation. Lotion, air exposure, and heating pads can worsen skin integrity.
Question 5 of 5
A 25-year-old client believes she may be pregnant with her first child. She schedules an obstetric examination with the nurse practitioner to determine the status of her possible pregnancy. Her last menstrual period began May 20, and her estimated date of confinement using Nägele's rule is:
Correct Answer: C
Rationale: March 27 is a miscalculation. February 1 is a miscalculation. February 27 is the correct answer.
To calculate the estimated date of confinement using Nagele's rule, subtract 3 months from the date that the last menstrual cycle began and then add 7 days to the result. January 3 is a miscalculation.