NCLEX RN Test Bank Questions PDF

NCLEX RN Test Bank Questions PDF Related

Review NCLEX RN Test Bank Questions PDF related questions and content

When a rubella vaccine is administered to a client who delivered a healthy newborn 2 days ago, the nurse provides instructions to the client regarding the potential risks associated with this vaccination. Which statement by the client indicates an understanding of the medication?

  • A. I need to stay out of the sunlight for 3 days.
  • B. The injection site may itch, but I can scratch it if I need to.
  • C. I need to avoid sexual intercourse for 2 to 3 days after the vaccination.
  • D. I need to prevent becoming pregnant for 2 to 3 months after the vaccination.
Correct Answer: D

Rationale: Rubella vaccine is a live attenuated virus that evokes an antibody response and provides immunity for approximately 15 years. Because rubella is a live vaccine, it will act as the virus and is potentially teratogenic in the organogenesis phase of fetal development. The client needs to be informed about the potential effects this vaccine may have and the need to avoid becoming pregnant for a period of 2 to 3 months afterward. Sunlight has no effect on the person who is vaccinated. The vaccine may cause local or systemic reactions, but all are mild and short-lived. Abstinence from sexual intercourse is not necessary, unless another form of effective contraception is not being used.

You may also like to solve these questions

An expected physiologic response to a low potassium level is:

  • A. Cardiac dysrhythmias.
  • B. Hyperglycemia.
  • C. Hypertension.
  • D. Increased energy.
Correct Answer: A

Rationale: Hypokalemia can cause cardiac dysrhythmias due to its effect on cardiac muscle excitability, making it the most significant physiologic response.

The nurse is teaching a client with gout about dietary management. Which of the following foods should the client avoid?

  • A. Spinach.
  • B. Cherries.
  • C. Organ meats.
  • D. Whole grains.
Correct Answer: C

Rationale: Organ meats are high in purines, which increase uric acid levels and should be avoided in gout.

On the night before a 58-year-old wife and mother is to have a lobectomy for lung cancer, she remarks to the nurse, 'I am so scared of this cancer. I should have quit smoking years ago. Now I've brought all this fear and sadness on myself and now my family.' The nurse should tell the client:

  • A. It's normal to be scared. I would be, too. We'll help you through it.'
  • B. Do you feel guilty because you smoked?'
  • C. Don't be so hard on yourself. You don't know if your smoking caused the cancer.'
  • D. I can imagine how scared you are. What is it about cancer that you're afraid of?'
Correct Answer: D

Rationale: Acknowledging the client's fear and exploring specific concerns fosters therapeutic communication, helping address her emotions effectively.

Which of the following actions by the nurse will most likely ensure that the correct client receives a medication? Select all that apply.

  • A. Have the client state his or her name.
  • B. Check the name on the arm band with the name on the medication.
  • C. Learn to recognize the client.
  • D. Check the client's room number.
  • E. Compare the date of birth on the client's chart to the date of birth on the client's armband.
Correct Answer: A,B,E

Rationale: Using two identifiers, such as the client's name, armband, and date of birth, ensures accurate medication administration. Room number and visual recognition are not reliable.

A client with a diagnosis of Cushing's syndrome is prescribed ketoconazole. The nurse should monitor the client for which of the following side effects?

  • A. Hypoglycemia.
  • B. Liver toxicity.
  • C. Weight gain.
  • D. Hypertension.
Correct Answer: B

Rationale: Ketoconazole can cause liver toxicity, requiring regular monitoring of liver function tests.

Copyright © 2025 Nokea. All rights reserved.