Questions 150

NCLEX-RN

NCLEX-RN Test Bank

NCLEX RN Questions with Detailed Explanations Questions

Extract:


Question 1 of 5

Which site or technique would you expect to use to administer ferrous sulfate?

Correct Answer: C

Rationale: The Z-track technique is used for ferrous sulfate IM injections to prevent leakage and skin staining.

Question 2 of 5

The nurse is assessing the perineal changes of a woman in the second stage of labor. The nurse expects to see which of the following changes?

Question Image

Correct Answer: D

Rationale: Crowning, when the fetal head is visible at the vaginal opening, is the expected perineal change in the second stage of labor, indicating imminent delivery.

Question 3 of 5

The nursing assessment of a client with osteomyelitis of the left great toe reveals pain with partial weight-bearing, unsteady gait, and fever. The priority nursing diagnosis for the client is:

Correct Answer: D

Rationale: Risk for injury is the priority due to unsteady gait and pain, which increase the likelihood of falls in a client with osteomyelitis.

Question 4 of 5

The nurse on the antenatal unit is planning care for four clients. The nurse should assess which of the following clients first?

Correct Answer: B

Rationale: The 19-year-old with bright red vaginal bleeding post-accident at 18 weeks is at high risk for miscarriage or placental abruption, requiring immediate assessment. The other clients are stable or less acute.

Question 5 of 5

A couple has completed testing and is a candidate for in vitro fertilization. The nurse is reviewing the procedure with them and realizes that further instruction is needed when the woman states:

Correct Answer: C

Rationale: IVF requires precise timing with the menstrual cycle, so the statement about performing it anytime indicates a need for further instruction.

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