NCLEX-RN
NCLEX RN High-Yield Questions Questions
Extract:
Question 1 of 5
Your family, as the client, now has four children and the parents do not want any other children at this time. The mother has a history of deep vein thrombosis and cigarette smoking; and both parents have a history of the lack of adherence to medical regimens. Which form of Contraception would you recommend for this couple?
Correct Answer: D
Rationale: Given the mother's history of deep vein thrombosis, hormonal contraceptives like the transdermal patch or vaginal ring are contraindicated due to increased clotting risk. A diaphragm may be unreliable due to non-adherence. Non-hormonal options like an IUD or permanent sterilization may be more suitable, but none of the listed options are ideal.
Question 2 of 5
A home care nurse is providing instructions to a client who is prescribed zolpidem for insomnia. To produce maximum effectiveness of the medication, what instruction should the nurse provide the client regarding how the medication should be taken?
Correct Answer: D
Rationale: Zolpidem is a sedative. The client should be instructed to take the medication at bedtime and to swallow the medication whole with a full glass of water. For faster onset of sleep, the client should be instructed not to administer the medication with milk or food or immediately after a meal. Antacids should be avoided with the administration of the medication because of interactive effects.
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
A client comes into the emergency department with extreme fatigue. He is malnourished and laboratory tests reveal that he is severely anemic. The nurse should specifically ask the client about his intake of food high in which of the following nutrition:
Correct Answer: B
Rationale: Severe anemia is often due to deficiencies in iron, folate, vitamin B12, or copper, which are essential for red blood cell production. Other vitamins listed are less directly related to anemia.
Question 5 of 5
A 10-year-old child is diagnosed with pediculosis. The mother is concerned about the spread of the lice to children who have been in contact with her child. The nurse should instruct the mother to have her child avoid:
Correct Answer: C
Rationale: Sharing batting helmets can spread lice through direct head-to-head contact or shared items, unlike the other activities.