NCLEX-RN
NCLEX RN Practice Questions Questions
Extract:
Question 1 of 5
A 3-year-old boy is diagnosed with plumbism. Which of the following information in his chart does the nurse associate with his diagnosis?
Correct Answer: B
Rationale: Plumbism (lead poisoning) is associated with exposure to lead-based paint, common in older homes (e.g., a 70-year-old farmhouse). Other options are unrelated to lead exposure.
Question 2 of 5
A client with schizophrenia has been taking Thorazine (chlorpromazine) 200 mg four times a day. Which finding should be reported to the doctor immediately?
Correct Answer: C
Rationale: A sore throat may indicate agranulocytosis, a serious side effect of chlorpromazine, requiring immediate reporting.
Question 3 of 5
The nurse is discharging a client with a prescription of eyedrops. Which observation by the nurse would indicate a need for further client teaching?
Correct Answer: B
Rationale: Administering a second eyedrop immediately washes out the first. A 5-minute wait is needed, indicating a need for further teaching.
Question 4 of 5
The obstetrical client decides to have an epidural anesthetic to relieve pain during labor. Following administration of the anesthesia, the nurse should monitor the client for:
Correct Answer: C
Rationale: Epidural anesthesia can cause respiratory depression, requiring close monitoring to ensure patient safety.
Question 5 of 5
A nulliparous client has been admitted after 12 hours of mild contractions at home. On examination, the client is found to be fully effaced and dilated to 3 cm. Contractions are every 5 minutes and last approximately 60 seconds. The client asks the nurse approximately how long it should take to get to 10 cm dilation. Which of the following is the most appropriate response?
Correct Answer: D
Rationale: Nulliparous women progress at ~1 cm/hour in active labor. From 3 cm to 10 cm is 7 cm, so ~7 hours (
D) is expected.