Nclex RN Exam Questions and Answers

Nclex RN Exam Questions and Answers

Question 1 of 184
A nurse is providing teaching for a client recently diagnosed with major depression who
has a new prescription for fluoxetine. Priority should be given to teaching about
interactions with which of the following supplements used by this client?
A Echinacea
B. Ginseng
C. St. John's wort
D. Ginkgo biloba
Answer: C
Question 2 of 184
What is the most important nursing role in disaster planning?
A. Gather sterile supplies that are needed in a disaster
B. List phone numbers for external disaster agencies
C. Understand how to perform the specifics of the hospital disaster plan
D. Evaluate the writeup of the last community disaster
Answer: C
Question 3 of 184
A nurse is providing discharge teaching to a client who has been diagnosed with primary
adrenal insufficiency and has a new prescription for hydrocortisone to be taken three
times a day. Which of the following should the nurse instruct this client?
A. Only report fever if temperature is greater than 102 F.
B. Report any polyuria, polydipsia, or polyphagia that may indicate hyperglycemia.
C. If you become ill, decrease your dosage by half.
D. Discontinue the medication if you begin to gain weight.
Answer: B
Question 4 of 184
Which of the following postpartum clients is at highest risk of hemorrhage after delivery?
A. A primigravida
B. A client with pregnancy-induced hypertension
C. A client under age 25
D. A client of Hispanic ethnicity
Answer: B
Question 5 of 184
A healthcare provider orders a serum alpha: fetoprotein test for a pregnant client at 20
weeks' gestation. Which best describes the purpose of this test?
A. Identifying renal disease in the mother
B. Verifying the risk of maternal-fetal blood type incompatibility
C. Assessing for fetal hyperbilirubinemia
D. Excluding the presence of fetal neural tube defects
Answer: D
Question 6 of 184
a. Gently instill 30-50 mL of water or NS (depending on agency policy) with an irrigation
syringe
b. Position the client with pillows behind the shoulders
c. Assess placement before irrigating.
d. Pull back on the syringe plunger to aspirate gastric contents to check patency, repeat
if the tube flow is sluggish
e. Explain the procedure and its potential discomfort to the client
f. Document the procedure
(Use the following format: ABCD, all letters capitalized, no periods, commas, or spaces)
Answer: EBCDAF
Before performing any procedure, the nurse needs to explain the processes and
benefits to the client in order. The client has the right to know about treatments and
medications. Assess if the tube is in place after setting pillows behind the client. Check
tube patency before starting the irrigation as per agency policy. Finally, document the
date, time, secretion, and client's condition. Do not use the syringe to aspirate the
irrigating solution unless ordered to do so; ordinarily, all solution used to irrigate and
clear the tube will be returned in the suction drainage.
Vital Concept:
Gastrostomy devices are used for long-term nutritional support of 6-8 weeks or
more.The tubes can be placed through the abdominal wall into the stomach using either
a surgical or laparoscopic procedures or, in the case of percutaneous endoscopic
gastrostomy (PEG), the tube is placed using an endoscope to visualize the inside of the
stomach and puncture an opening through the skin and subcutaneous tissues, through
which the PEG tube is inserted.
Question 7 of 184
A nurse is caring for a client who has a terminal illness and is using a ventilator. The
client is alert and oriented and tells the nurse he wants to discontinue the use of the
ventilator. The nurse should identify that continued treatment against the client's wishes
is a violation of which of the following ethical principles?
A. Veracity
B. Autonomy
C. Utility
D. Justice
Answer: B

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