Question of the Week

How it works? At the beginning of each week there will be a NCLEX question, and you the student, can e-mail your answer with a rationale. The correct answer will be E-mailed to you from now on.
If you provide an incorrect answer with a rationale you will still earn 2 WUSNA points just for trying. If you provide the correct answer and rationale you will earn 4 WUSNA points! Don't forget to add your name when you e-mail!!!!

Here is an Example:

A 44-year-old woman is admitted with pneumonia.  She tells the nurse she has been taking hormone replacement therapy for menopausal symptoms.  What findings during the admission assessment would most concern the nurse?

a.  Diminished breath sounds in the bases of the lungs
b.  Redness and warmth of the right leg
c.  Cough, Productive for thick green sputum
d.  Fatigue and muscle weakness

you would E-mail your response to (there is an underscore between WUSNA and Club, it's hard to see) with an answer looking something like this:

The correct answer is B. 
The question is asking what assessment finding would be vital for the nurse to know when caring for a client with pneumonia who is also prescribed hormone replacement therapy for menopausal symptoms.  Estrogen has been implicated in thromboembolic disease.  Redness and warmth of the leg would indicate a possible thrombus.  A client with pneumonia would be expected to have diminished breath sounds (option a).  Thick green sputum is indicative of an infection, which is consistent with the diagnosis of pneumonia (option c).  Fatigue and muscle weakness are also symptoms that would be expected in a client with pneumonia (option d). 

Questions provided by:
 KAPLAN. NCLEX-RN Strategies, Practice, and Review 2013-2014 Edition.

QUESTION OF THE WEEK #4: Week of 04/13/14
Answers with rationales due by Saturday 04/19/14 at midnight!

The nurse prepares an adult client for instillation of eardrops. The nurse should use which of the following methods to administer the eardrops?


Cool the solution for better adsorption. Drop the medication directly into the auditory canal.


Warm the solution. Flush the medication rapidly into the ear.


Warm the solution. Drop the medication along the side of the ear canal.


Warm the solution to 104 degrees F (40 degrees C). Drop the medication slowly into the ear canal.

Remember to email your responses to:

In the subject line please include: 
QOW #, name, expected year of graduation