NCLEX-RN
NCLEX-RN Exam Practice Questions
Extract:
Question 1 of 5
A 20-year-old female has a prescription for Sumycin (tetracycline). While teaching the client how to take her medicine, the nurse learns that the client is also taking an oral contraceptive. Which instruction should be included in the teaching plan?
Correct Answer: D
Rationale: Tetracyclines can reduce the effectiveness of oral contraceptives by altering gut flora, affecting estrogen metabolism. This increases the risk of unintended pregnancy, requiring backup contraception.
Question 2 of 5
The physician is preparing to induce labor on a 40-week multigravida. The nurse should anticipate the administration of:
Correct Answer: A
Rationale: Oxytocin is used to induce labor by stimulating uterine contractions in a term pregnancy.
Question 3 of 5
On admission to the inpatient unit, a 34-year-old client is able to follow simple directions, but with great difficulty. He is worried about how he can keep clean in such a public place and repeatedly dusts his bureau, straightens his bed, and adjusts the clothes in his closet. The client is experiencing a severe level of anxiety. Which response by the nurse would be most therapeutic in initially attempting to reduce his anxiety?
Correct Answer: B
Rationale: Acknowledging the anxiety and channeling it into some positive activity, such as a unit tour, is therapeutic and helps reduce anxiety by providing distraction and orientation.
Question 4 of 5
The nurse is assessing a client with suspected meningitis. Which finding is most concerning?
Correct Answer: A
Rationale: Neck stiffness (nuchal rigidity) is a hallmark sign of meningitis, indicating meningeal irritation and requiring urgent evaluation. Fever, photophobia, and headache are common but less specific without neck stiffness.
Question 5 of 5
The client is admitted with a diagnosis of gestational trophoblastic disease. Which vital sign change is most likely to be observed?
Correct Answer: A
Rationale: Gestational trophoblastic disease can cause maternal tachycardia due to elevated hCG or bleeding. Fetal bradycardia is not relevant (no viable fetus) and hypotension is less common unless hemorrhage occurs.