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
A client calls the prenatal clinic to schedule an appointment. She states she has missed three menstrual periods and thinks she might be pregnant. During her first visit to the prenatal clinic, it is confirmed that she is pregnant. The registered nurse (RN) learns that her last menstrual period began on June 10. According to Nägele's rule, the estimated date of confinement is:
Correct Answer: A
Rationale: Using Nägele's rule, count back 3 calendar months from the first day of the last menstrual period. The answer is March 10.
Then add 7 days and 1 year, which would be March 17 of the following year. (B, C,
D) These dates are incorrect.
Question 3 of 5
The nurse is developing a plan of care for a client with an electrolyte imbalance and identifies a nursing diagnosis of decreased physical mobility. Which alteration is most likely the etiology?
Correct Answer: C
Rationale: A deficit in sodium concentration results in muscular weakness and lethargy. Muscle fatigue and hypotonia are caused by hypercalcemia. Muscle weakness and fatigue are classic signs of hypokalemia. Hypermagnesemia can cause muscle weakness, paralysis, and coma.
Question 4 of 5
The nurse is caring for a client following a right nephrolithotomy. Post-operatively, the client should be positioned:
Correct Answer: C
Rationale: Positioning on the left side helps reduce pressure on the surgical site (right kidney) and promotes drainage and comfort post-nephrolithotomy.
Question 5 of 5
A client is being discharged after lithotripsy for removal of a kidney stone. Which statement by the client indicates understanding of the nurse's instructions?
Correct Answer: C
Rationale: Straining urine and saving stone fragments post-lithotripsy allows analysis and confirms stone passage. Starting in the morning (
A) is incorrect, saving all urine (
B) is unnecessary, and not straining (
D) misses stone collection.