NCLEX-RN
NCLEX RN Practice Questions
Extract:
Question 1 of 5
A 14-year-old boy comes in for a yearly exam and confides in the nurse that he feels embarrassed he is shorter than most of the girls in his class. He asks if he will catch up in height. The best therapeutic response from the nurse is
Correct Answer: B
Rationale: This response validates the boy’s feelings, provides factual reassurance about growth during puberty, and is empathetic without dismissing his concerns.
Question 2 of 5
The physician has ordered an IV bolus of Solu-Medrol (methylprednisolone sodium succinate) in normal saline for a client admitted with a spinal cord injury. Solu-Medrol has been shown to be effective in:
Correct Answer: C
Rationale: Solu-Medrol is used in acute spinal cord injuries to reduce inflammation and swelling, which can improve motor and sensory outcomes if given promptly.
Question 3 of 5
While assessing the postpartal client, the nurse notes that the fundus is displaced to the right. Based on this finding, the nurse should:
Correct Answer: A
Rationale: A fundus displaced to the right suggests bladder distention, which can be resolved by asking the client to void.
Question 4 of 5
The nurse is assessing the integumentary system of a dark-skinned individual. Which area would be the most likely to show a skin cancer lesion?
Correct Answer: D
Rationale: In dark-skinned individuals, skin cancer lesions (e.g., melanoma) are more likely on less pigmented areas like the palms, where changes are more visible.
Question 5 of 5
A medication error has occurred, and the client has received double the ordered dosage of magnesium sulfate. The nurse anticipates the physician will order what medication STAT?
Correct Answer: D
Rationale: Magnesium sulfate overdose causes hypermagnesemia, treated with calcium gluconate to counteract toxicity (e.g., respiratory depression, hypotension).