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NCLEX NCLEX-RN Exam
National Council Licensure Examination - NCLEX-RN (Page 67 )

Updated On: 25-Jan-2026
Page 67 of 345
PDF with 862 Questions

Other drugs may be ordered to manage a client's ulcerative colitis. Which of the following medications, if ordered, would the nurse question?

  1. Methylprednisolone sodium succinate (Solu-Medrol)
  2. Loperamide (Imodium)
  3. Psyllium
  4. 6-Mercaptopurine

Answer(s): D

Explanation:

(A) Methylprednisolone sodium succinate is used for its anti-inflammatory effects. (B) Loperamide would be used to control diarrhea. (C) Psyllium may improve consistency of stools by providing bulk. (D) An immunosuppressant such as 6-mercaptopurine is used for chronic unrelenting Crohn's disease.



A client is pregnant with her second child. Her last menstrual period began on January 15. Her expected date of delivery would be:

  1. October 8
  2. October 15
  3. October 22
  4. October 29

Answer(s): C

Explanation:

(A) Incorrect application of Nägele's rule: correctly subtracted 3 months but subtracted 7 days rather than added. (B) Incorrect application of Nägele's rule: correctly subtracted 3 months but did not add 7 days. (C) Correct application of Nägele's rule: correctly subtracted 3 months and added 7 days. (D) Incorrect application of Nägele's rule: correctly subtracted 3 months but added 14 days instead of 7 days.



A mother is unsure about the type of toys for her 17-month-old child. Based on knowledge of growth and development, what toy would the nurse suggest?

  1. A pull toy to encourage locomotion
  2. A mobile to improve hand-eye coordination
  3. A large toy with movable parts to improve pincer grasp
  4. Various large colored blocks to teach visual discrimination

Answer(s): A

Explanation:

(A) Increased locomotive skills make push-pull toys appropriate for the energetic toddler. (B) Infants progress from reflex activity through simple repetitive behaviors to imitative behavior. Hand-eye coordination forms the foundation of other movements. (C) At age 8 months, infants begin to have pincer grasp. Toys that help infants develop the pincer grasp are recommended for this age group. (D) Various large colored blocks are suggested toys for infants 6­12 months of age to help visual stimulation.



A 42-year-old client on an inpatient psychiatric unit comments that he was brought to the hospital by his wife because he had taken too many pills and states, "I just couldn't take it anymore." The nurse's best response to this disclosure would be:

  1. "You shouldn't do things like that, just tell someone you feel bad."
  2. "Tell me more about what you couldn't take anymore."
  3. "I'm sure you probably didn't mean to kill yourself."
  4. "How long have you been in the hospital."

Answer(s): B

Explanation:

(A) Disapproving gives the impression that the nurse has a right to pass judgment on the client's thoughts, actions, or ideas. (B) Giving a broad opening gives the client encouragement to continue with verbalization. (C) Failing to acknowledge the client's feelings conveys a lack of understanding and empathy. (D) Changing the subject takes the conversation away from the client and is indicative of the nurse's anxiety or insensitivity.



A gravida 2 para 1 client delivered a full-term newborn 12 hours ago. The nurse finds her uterus to be boggy, high, and deviated to the right. The most appropriate nursing action is to:

  1. Notify the physician
  2. Place the client on a pad count
  3. Massage the uterus and re-evaluate in 30 minutes
  4. Have the client void and then re-evaluate the fundus

Answer(s): D

Explanation:

(A) The nurse should initiate actions to remove the most frequent cause of uterine displacement, which involves emptying the bladder. Notifying the physician is an inappropriate nursing action. (B) The pad count gives an estimate of blood loss, which is likely to increase with a boggy uterus; but this action does not remove the most frequent cause of uterine displacement, which is a full bladder. (C) Massage may firm the uterus temporarily, but if a full bladder is not emptied, the uterus will remain displaced and is likely to relax again. (D) The most common cause of uterine displacement is a full bladder.



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