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NCLEX National Council Licensure Examination(NCLEX-RN) Sample Questions (Q376-Q381):

NEW QUESTION # 376
A 2-year-old child with a scalp laceration and subdural hematoma of the temporal area as a result of falling out of bed should be prevented from:

A. Sucking his thumb
B. Rolling from his back to his tummy
C. Falling asleep
D. Crying

Answer: D

Explanation:
(A) A child with a subdural hematoma has increased ICP. Crying may significantly increase this pressure. (B) Adequate sleep is essential, but it is important that the child can be aroused from sleep after head injury. (C) This child is free to roll from his back to his abdomen. (D) Thumb-sucking serves to reduce anxiety and should not be prevented at this time.

NEW QUESTION # 377
A client is being discharged with albuterol (Proventil) and beclomethasone dipropionate (Vanceril) to be administered via inhalation three times a day and at bedtime. Client teaching regarding the sequential order in which the drugs should be administered includes:

A. Alternate successive administrations
B. According to the client's preference
C. Bronchodilator followed by the glucocorticoid
D. Glucocorticoid followed by the bronchodilator

Answer: C

Explanation:
Explanation
(A) The client would not receive therapeutic effects of the glucocorticoid when it is inhaled through constricted airways. (B) Bronchodilating the airways first allows for the glucocorticoid to be inhaled through open airways and increases the penetration of the steroid for maximum effectiveness of the drug. (C) Inac- Inaccurate use of the inhalers will lead to decreased effectiveness of the treatment. (D) Client teaching regarding the use and effects of inhalers will promote client understanding and compliance.

NEW QUESTION # 378
A 68-year-old client developed acute respiratory distress syndrome while hospitalized for pneumonia. After a respiratory arrest, an endotracheal tube was inserted. Several days later, numerous attempts to wean him from mechanical ventilation were ineffective, and a tracheostomy was created. For the first 24 hours following tracheostomy, it is important to minimize bleeding around the insertion site. The nurse can accomplish this by:

A. Reporting any signs of crepitus immediately to the physician
B. Avoiding manipulation of the tracheostomy including cuff deflation
C. Changing tracheostomy dressing only as necessary using one-half strength hydrogen peroxide to cleanse the site
D. Deflating the cuff for 10 minutes every other hour instead of 5 minutes every hour

Answer: B

Explanation:
Explanation/Reference:
Explanation:
(A) The tracheal cuff should not be deflated within the first 24 hours following surgery. (B) To minimize bleeding, any manipulation, including cuff deflation, should be avoided. (C) Small amounts of crepitus are expected to occur; however, large amounts or expansion of the area of crepitus should be reported to the physician. (D) The tracheostomy site may be changed as often as necessary, but site care should be done with normal saline.

NEW QUESTION # 379
MgSO4 blood levels are monitored and the nurse would be prepared to administer the following antidote for MgSO4 side effects or toxicity:

A. Magnesium oxide
B. Naloxone (Narcan)
C. Calcium hydroxide
D. Calcium gluconate

Answer: D

Explanation:
(A, B) These drugs are not antidotes for MgSO4. (C) This drug is the standard antidote and should always be readily available when MgSO4is being administered. (D) This drug is an antidote for narcotics, not MgSO4.

NEW QUESTION # 380
A 27-year-old primigravida stated that she got up from the chair to fix dinner and bright red blood was running down her legs. She denies any pain previously or currently. The client is very concerned about whether her baby will be all right. Her vital signs include P 120 bpm, respirations 26 breaths/min, BP
104/58 mm Hg, temperature 98.2_F, and fetal heart rate 146 bpm. Laboratory findings revealed hemoglobin 9.0 g/dL, hematocrit 26%, and coagulation studies within normal range. On admission, the peripad she wore was noted to be half saturated with bright red blood. A medical diagnosis of placenta previa is made. The priority nursing diagnosis for this client would be:

A. Anxiety related to threat to self
B. Decreased cardiac output related to excessive bleeding
C. Potential for fluid volume excess related to fluid resuscitation
D. Alteration in parenting related to potential fetal injury

Answer: B

Explanation:
Explanation/Reference:
Explanation:
(A) Based on the client's history, presence of bright red vaginal bleeding, and hemoglobin value on admission, the priority nursing diagnosis would be decreased cardiac output related to excessive bleeding.
(B) This nursing diagnosis is a potential problem that does not exist at the present time, and therefore is not the priority problem. (C) The client's expressed anxiety is for her child. The fetus will remain physiologically safe if the decreased cardiac output is resolved. (D) Initial spontaneous bleeding with placenta previa is rarely life threatening to the mother or the fetus. Delivery of the fetus will be postponed until fetal maturity is achieved and survival is likely.

NEW QUESTION # 381
......

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NCLEX-RN Certification Sample Questions, Test NCLEX-RN Simulator

Quiz 2026 NCLEX NCLEX-RN: High Hit-Rate National Council Licensure Examination(NCLEX-RN) Certification Sample Questions

NCLEX National Council Licensure Examination(NCLEX-RN) Sample Questions (Q376-Q381):

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