NCLEX-RN
NCLEX RN Practice Questions Exam Cram Questions
Question 1 of 5
An infant with hydrocele is seen in the clinic for a follow-up visit at 1 month of age. The scrotum is smaller than it was at birth, but fluid is still visible on illumination. Which of the following actions is the physician likely to recommend?
Correct Answer: C
Rationale: A hydrocele is a collection of fluid in the scrotum that results from a patent tunica vaginalis. Illumination of the scrotum with a pocket light demonstrates the clear fluid. In most cases, the fluid reabsorbs within the first few months of life and no treatment is necessary. Massaging the groin area (
Choice
A) is not recommended as it will not help in the resolution of the hydrocele. Referral to a surgeon (
Choice
B) is not necessary at this stage since hydroceles often resolve on their own in infants. Keeping the infant in a flat, supine position (
Choice
D) does not aid in the reabsorption of fluid and is not a recommended intervention for hydrocele management.
Question 2 of 5
An infant with hydrocele is seen in the clinic for a follow-up visit at 1 month of age. The scrotum is smaller than it was at birth, but fluid is still visible on illumination. Which of the following actions is the physician likely to recommend?
Correct Answer: C
Rationale: A hydrocele is a collection of fluid in the scrotum that results from a patent tunica vaginalis. Illumination of the scrotum with a pocket light demonstrates the clear fluid. In most cases, the fluid reabsorbs within the first few months of life and no treatment is necessary. Massaging the groin area (
Choice
A) is not recommended as it will not help in the resolution of the hydrocele. Referral to a surgeon (
Choice
B) is not necessary at this stage since hydroceles often resolve on their own in infants. Keeping the infant in a flat, supine position (
Choice
D) does not aid in the reabsorption of fluid and is not a recommended intervention for hydrocele management.
Question 3 of 5
When supporting the psychosocial needs of a client experiencing negative side effects associated with chemotherapy, which intervention is most appropriate?
Correct Answer: D
Rationale: When a client is experiencing negative side effects associated with chemotherapy, addressing their psychosocial needs is crucial. One effective intervention is to determine the levels of support from significant others. This involves assessing the family, spouse, or friends who can provide help and support to the client when healthcare providers are not present. By identifying and organizing these resources, the nurse can help alleviate fears about the future, prepare caregivers for the client's needs, and facilitate a smoother transition for the client upon discharge. Reading discharge instructions, providing medications, or giving self-care instructions, although important, do not directly address the psychosocial needs of the client during this challenging time.
Question 4 of 5
A physician suspects a patient may have pancreatitis. Which of the following tests would be most appropriate to diagnose this condition?
Correct Answer: C
Rationale:
To diagnose pancreatitis, testing amylase and lipase levels is crucial. Amylase and lipase are enzymes produced by the pancreas that help digest carbohydrates and lipids. In pancreatitis, these enzymes are released in high amounts into the bloodstream due to pancreatic inflammation or damage. Elevated levels of amylase and lipase in blood tests strongly indicate pancreatitis.
Choice A, CK and Troponin, are cardiac markers used in diagnosing heart conditions like myocardial infarction, not pancreatitis.
Choice B, BUN and Creatinine, are kidney function tests, not specific to pancreatitis.
Choice D, HDL and LDL Cholesterol Levels, are lipid profile tests used to assess cardiovascular health, not for diagnosing pancreatitis.
Question 5 of 5
A patient presents to the office with a pencil that has completely penetrated the palm of her hand. Which of the following treatments would be BEST in this situation?
Correct Answer: C
Rationale: Penetrating wounds that leave an object behind may have damaged important blood vessels. Removing the object may lead to significant bleeding. The correct approach is to gently wrap the wound with the object in place to help control bleeding and prevent further injury. The patient should be taken promptly to the nearest emergency room where healthcare professionals can safely and appropriately remove the object and provide necessary treatment.
Choice A is incorrect because removing the pencil without proper medical evaluation can worsen the injury.
Choice B is incorrect because pulling out the object can cause additional damage and bleeding.
Choice D is incorrect because giving aspirin without knowing the extent of the injury and causing potential drug interactions can be harmful.