NCLEX-RN
NCLEX RN High-Yield Questions Questions
Extract:
Question 1 of 5
You are caring for an infant who is just about 12 months old. Which assessment data is normal for the infant at this age?
Correct Answer: B
Rationale: By 12 months, a healthy infant typically triples their birth weight, making option B correct. Doubling birth weight usually occurs by 6 months. Option C (60 mL/kg) is not a standard measure for assessing normal infant development, and option D (¼ inch growth in a month) is not necessarily indicative of normal growth without further context.
Question 2 of 5
A client with a history of bipolar disorder is prescribed valproic acid (Depakene). The nurse should instruct the client to report which of the following side effects immediately?
Correct Answer: B
Rationale: Yellowing of the skin indicates potential hepatotoxicity, a serious side effect of valproic acid, requiring immediate reporting.
Question 3 of 5
While preparing a client for surgery, the nurse assesses for psychosocial problems that may cause preoperative anxiety. Which of the following is believed to be the most distressing fear a preoperative client is likely to experience?
Correct Answer: A
Rationale: Fear of the unknown is often the most distressing preoperative fear, as uncertainty about the procedure and outcome heightens anxiety.
Question 4 of 5
Intravenous 5% albumin is prescribed for a client with burns of the anterior chest and both legs. The nurse contacts the primary health care provider before administering the human albumin if which are noted in the client's record? Select all that apply.
Correct Answer: A,D
Rationale: Five percent albumin is classified as a blood derivative and is contraindicated in severe anemia, cardiac failure, history of allergic reaction, renal insufficiency, and when no albumin deficiency is present. It is used with caution in clients with low cardiac reserve, pulmonary disease, or hepatic or renal failure.
Question 5 of 5
The nurse is caring for a client who has just undergone a craniotomy. Which of the following interventions is most important in the immediate postoperative period?
Correct Answer: A
Rationale: Frequent neurological monitoring is critical post-craniotomy to detect complications like increased intracranial pressure.