NCLEX-RN
NCLEX RN Practice Test Questions
Extract:
Question 1 of 5
A client complains of sharp, stabbing pain in the right lower quadrant that is graded as level 8 on a scale of 10. The nurse knows that pain of this severity can best be managed using:
Correct Answer: D
Rationale: Morphine sulfate is the most effective for severe, acute pain due to its strong opioid properties.
Question 2 of 5
The nurse is caring for a client who was admitted for chest pain. The client is oriented to person and place, but is often confused about the month of the year or what season it is. A family member tells the nurse, 'I'd like for you to sign as a witness on my mother's living will, in case something happens to her and we need to make health care decisions for her.' Which is the best response by the nurse?
Correct Answer: C
Rationale: The client’s confusion raises concerns about her capacity to understand the living will, which must be addressed before witnessing to ensure validity.
Question 3 of 5
The nurse is suspected of charting medication administration that he did not give. After talking to the nurse, the charge nurse should:
Correct Answer: B
Rationale: Suspected falsification of records warrants a formal reprimand and investigation, but immediate termination or legal action requires further evidence.
Question 4 of 5
A client is admitted to the emergency department with chest pain and is diagnosed with an acute myocardial infarction. The physician orders thrombolytic therapy. The nurse knows that this therapy is contraindicated in which of the following conditions?
Correct Answer: B
Rationale: previous hemorrhagic stroke is an absolute contraindication for thrombolytic therapy due to the risk of bleeding
Question 5 of 5
The nurse is preparing a 73-year-old client for cataract surgery on the left eye. Which statement by the client indicates a need for further teaching?
Correct Answer: C
Rationale: Stopping Coumadin without medical guidance is unsafe, as it may increase clotting risk, indicating a need for further teaching.