NCLEX-RN
NCLEX-RN Exam Practice Questions
Extract:
Question 1 of 5
A client diagnosed with severe anemia is to receive 2 U of packed red blood cells. Prior to starting the blood transfusion, the nurse must:
Correct Answer: A
Rationale: A baseline set of vital signs is necessary to determine if any transfusion reactions occur as the blood product is being administered. The only companion fluid to be used during a blood transfusion is normal saline. The calcium in Ringer's lactate can cause clotting. Only a blood administration set should be used. A microdrip tube would cause lysis of the red blood cells. Proper identification of the recipient and the blood product must be validated by at least two people.
Question 2 of 5
The nurse is discussing breastfeeding with a postpartum client. Breastfeeding is contraindicated in the postpartum client with:
Correct Answer: B
Rationale: HIV is a contraindication for breastfeeding due to the risk of viral transmission to the infant. Diabetes hypertension and thyroid disease are not absolute contraindications though they require management.
Question 3 of 5
The physician has ordered a low-purine diet for a client with gout. Which protein source is high in purine?
Correct Answer: A
Rationale: Dried beans are high in purines, which can exacerbate gout by increasing uric acid levels, so they should be avoided on a low-purine diet.
Question 4 of 5
A two-month-old infant has just received her first Tetramune injection. The nurse should tell the mother that the immunization:
Correct Answer: C
Rationale: Tetramune protects against diphtheria, pertussis, tetanus, and H. influenzae b and is part of a series given at 2, 4, 6, and 15-18 months. It does not test susceptibility or cover MMRV.
Question 5 of 5
A client is admitted to the postpartal unit with a large amount of lochia rubra, uterine enlargement, and excessive clots. Which medication will likely be ordered for the client?
Correct Answer: D
Rationale: Hemabate, a prostaglandin, is used to treat postpartum hemorrhage by promoting uterine contractions to control bleeding. Fentanyl and Stadol are analgesics, and Prepidil is for labor induction, not hemorrhage.