NCLEX-RN Exam Questions and Answers

QUESTION: 18

A 3-year-old child is hospitalized with burns covering her trunk and lower extremities. Which of the following would the nurse use to assess adequacy of fluid resuscitation in the burned child?

Blood pressure
Serum potassium level
Urine output
Pulse rate

Answer(s): C

Explanation:

(A) Blood pressure can remain normotensive even in a state of hypovolemia. (B) Serum potassium is not reliable for determining adequacy of fluid resuscitation. (C) Urine output, alteration in sensorium, and capillary refill are the most reliable indicators for assessing adequacy of fluid resuscitation. (D) Pulse rate may vary for many reasons and is not a reliable indicator for assessing adequacy of fluid resuscitation.

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QUESTION: 19

When teaching a sex education class, the nurse identifies the most common STDs in the United States as:

Chlamydia
Herpes genitalis
Syphilis
Gonorrhea

Answer(s): A

Explanation:

(A) Chlamydia trachomatis infection is the most common STD in the United States. The Centers for Disease Control and Prevention recommend screening of all high-risk women, such as adolescents and women with multiple sex partners. (B) Herpes simplex genitalia is estimated to be found in 520 million people in the United States and is rising in occurrence yearly. (C) Syphilis is a chronic infection caused by Treponema pallidum. Over the last several years the number of people infected has begun to increase. (D) Gonorrhea is a bacterial infection caused by the organism Neisseria gonorrhoeae. Although gonorrhea is common, chlamydia is still the most common STD.

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QUESTION: 19

When teaching a sex education class, the nurse identifies the most common STDs in the United States as:

Chlamydia
Herpes genitalis
Syphilis
Gonorrhea

Answer(s): A

Explanation:

(A) Chlamydia trachomatis infection is the most common STD in the United States. The Centers for Disease Control and Prevention recommend screening of all high-risk women, such as adolescents and women with multiple sex partners. (B) Herpes simplex genitalia is estimated to be found in 520 million people in the United States and is rising in occurrence yearly. (C) Syphilis is a chronic infection caused by Treponema pallidum. Over the last several years the number of people infected has begun to increase. (D) Gonorrhea is a bacterial infection caused by the organism Neisseria gonorrhoeae. Although gonorrhea is common, chlamydia is still the most common STD.

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QUESTION: 20

Which of the following nursing orders should be included in the plan of care for a client with hepatitis C?

The nurse should use universal precautions when obtaining blood samples.
Total bed rest should be maintained until the client is asymptomatic.
The client should be instructed to maintain a low semi-Fowler position when eating meals.
The nurse should administer an alcohol backrub at bedtime.

Answer(s): A

Explanation:

(A) The source of infection with hepatitis C is contaminated blood products. (B) Modified bed rest should be maintained while the client is symptomatic. Routine activities can be slowly resumed once the client is asymptomatic. (C) Nausea and vomiting occur frequently with hepatitis C. A high Fowler position may decrease the tendency to vomit. (D) The buildup of bilirubin in the client's skin may cause pruritus. Alcohol is a drying agent.

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QUESTION: 20

Which of the following nursing orders should be included in the plan of care for a client with hepatitis C?

The nurse should use universal precautions when obtaining blood samples.
Total bed rest should be maintained until the client is asymptomatic.
The client should be instructed to maintain a low semi-Fowler position when eating meals.
The nurse should administer an alcohol backrub at bedtime.

Answer(s): A

Explanation:

(A) The source of infection with hepatitis C is contaminated blood products. (B) Modified bed rest should be maintained while the client is symptomatic. Routine activities can be slowly resumed once the client is asymptomatic. (C) Nausea and vomiting occur frequently with hepatitis C. A high Fowler position may decrease the tendency to vomit. (D) The buildup of bilirubin in the client's skin may cause pruritus. Alcohol is a drying agent.

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NCLEX NCLEX-RN Exam (page: 8) NCLEX National Council Licensure Examination - -RN Updated on: 15-Feb-2026

QUESTION: 18

Explanation:

QUESTION: 19

Explanation:

QUESTION: 19

Explanation:

QUESTION: 20

Explanation:

QUESTION: 20

Explanation:

NCLEX NCLEX-RN Exam (page: 8)
NCLEX National Council Licensure Examination - -RN
Updated on: 15-Feb-2026