NCLEX-RN
NCLEX RN High-Yield Questions Questions
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
The nurse observes that a client who has received midazolam (Versed) for local anesthesia is having shallow respirations. The nurse should:
Correct Answer: C
Rationale: Midazolam can cause respiratory depression, so administering oxygen as ordered is the most appropriate initial response.
Question 3 of 5
A multiparous client 48 hours postpartum who is breast-feeding tells the nurse, 'I'm having a lot of cramping. This didn't happen when I nursed my first baby,' which of the following would be the nurse's best response?
Correct Answer: D
Rationale: Breast-feeding stimulates oxytocin release, causing uterine contractions and cramping, which is normal and often more noticeable in multiparous women.
Question 4 of 5
Your client had a ruptured appendix and peritonitis. What type of healing would be most likely for this client?
Correct Answer: A
Rationale: A ruptured appendix with peritonitis typically results in a wound that heals by secondary intention, where the wound is left open to heal from the base up due to infection.
Question 5 of 5
A nurse is administering I.V. fluids to a dehydrated client. When administering an I.V. solution of 3% sodium chloride, what should the nurse do? Select all that apply.
Correct Answer: A,B,C
Rationale: 3% sodium chloride is hypertonic and requires monitoring of intake/output, jugular veins for fluid overload, and neurologic status for hypernatremia effects. Forcing fluids or catheterization is not indicated.