NCLEX-RN
Results Analysis Questions
Extract:
Question 1 of 5
The nurse is assigned to care for a child diagnosed with juvenile idiopathic arthritis (JIA). What is the child's priority problem?
Correct Answer: A
Rationale: All of the problems identified in the options are appropriate for the child with JIA; however, acute pain must be managed before other problems can be addressed.
Question 2 of 5
What is the nurse's priority for the postprocedure care of a client who has just returned to the unit after a scheduled intravenous pyelogram (IVP)?
Correct Answer: C
Rationale: After IVP, the client should take in increased fluids to aid in the clearance of the dye used for the procedure. The client is usually allowed activity as tolerated, without any specific activity guidelines. It is unnecessary to void frequently after the procedure.
Question 3 of 5
A child was diagnosed with acute poststreptococcal glomerulonephritis and renal insufficiency. Which laboratory result should the nurse expect to note in the child?
Correct Answer: D
Rationale: With poststreptococcal glomerulonephritis, a urinalysis will reveal hematuria with red cell casts. Proteinuria is also present. If renal insufficiency is severe, the BUN and creatinine levels will be elevated. The WBC is usually within normal limits, and mild anemia is common. Platelets would be lower, whereas glucose is not related.
Question 4 of 5
A client diagnosed with a thrombotic stroke experiences periods of emotional lability. What should the nurse interpret this behavior as indicating?
Correct Answer: C
Rationale: After a thrombotic stroke, the client often experiences periods of emotional lability, which are characterized by sudden bouts of laughing or crying or by irritability, depression, confusion, or being demanding. This is a normal part of the clinical picture of the client with this health problem, although it may be difficult for health care personnel and family members to deal with it. The other options are incorrect.
Question 5 of 5
The nurse is assigned to care for a child diagnosed with juvenile idiopathic arthritis (JIA). What is the child's priority problem?
Correct Answer: A
Rationale: All of the problems identified in the options are appropriate for the child with JIA; however, acute pain must be managed before other problems can be addressed.