RN NCLEX Next Gen Questions

RN NCLEX Next Gen Questions Related

Review RN NCLEX Next Gen Questions related questions and content

A multigravid client at 34 weeks’ gestation who is leaking amniotic fl uid has just been hospitalized with a diagnosis of preterm premature rupture of membranes and preterm labor. The client’s contractions are 20 minutes apart, lasting 20 to 30 seconds. Her cervix is dilated to 2 cm. The nurse reviews the physician orders (see chart). Which of the following orders should the nurse initiate first?

  • A. Initiate fetal and contraction monitoring
  • B. Start the intravenous infusion
  • C. Obtain the urine specimen
  • D. Administer betamethasone
Correct Answer: A

Rationale: The nurse should initiate fetal and contraction monitoring for this client upon arrival to the unit. This gives the nurse data regarding changes in fetal and maternal contraction status before completing the other orders. Next, the betamethasone would be given to begin the maturation process for the fetal lungs. Next, the nurse should start an intravenous infusion to provide a line for immediate intravenous access, if needed, and provide hydration for the client. The nurse should obtain the urine specimen prior to administering any antibiotic therapy, if ordered.

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Prochlorperazine (Compazine) is prescribed postoperatively. The nurse should evaluate the drug's therapeutic effect when the client expresses relief from which of the following?

  • A. Nausea.
  • B. Dizziness.
  • C. Abdominal spasms.
  • D. Abdominal distention.
Correct Answer: A

Rationale: Prochlorperazine is primarily used to treat postoperative nausea and vomiting, so relief from nausea indicates therapeutic effectiveness.

The nurse is assessing a client with a history of heart failure who is receiving a 500-mL I.V. bolus of 0.9% normal saline. To evaluate the client's response to the treatment, the nurse should especially monitor the client for which of the following?

  • A. Hypotension.
  • B. Increased urine output.
  • C. Crackles in the lungs.
  • D. Dry mucous membranes.
Correct Answer: C

Rationale: In heart failure, fluid boluses can lead to pulmonary edema, so monitoring for lung crackles is critical to detect fluid overload.

Which nursing action is most essential for the hospitalized client with a new tracheostomy?

  • A. Decrease secretions
  • B. Provide client teaching regarding tracheostomy care
  • C. Relieve anxiety related to the tracheostomy
  • D. Maintain a patent airway
Correct Answer: D

Rationale: Maintaining a patent airway is the most critical action for a client with a new tracheostomy to ensure adequate oxygenation. Other actions are important but secondary to airway patency.

A primary concern of the hospitalized adolescent is:

  • A. Respect for the need for privacy.
  • B. Allowing parents to visit after hours.
  • C. Wearing a hospital gown.
  • D. The fear of loss of control when in pain.
Correct Answer: A

Rationale: Adolescents value autonomy and privacy, which is a primary concern during hospitalization, as it supports their developmental need for independence.

The nurse is preparing a teaching plan for a 45-year-old client recently diagnosed with type 2 diabetes mellitus. What is the first step in this process?

  • A. Establish goals.
  • B. Assess the client's learning needs.
  • C. Set priorities of learning needs.
  • D. Select teaching strategies.
Correct Answer: B

Rationale: Assessing the client's learning needs is the first step to tailor education to their knowledge level, preferences, and barriers, ensuring effective teaching.

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