NCLEX-RN
Practice NCLEX RN Questions Questions
Extract:
Question 1 of 5
A client has a tentative diagnosis of myasthenia gravis. The nurse recognizes that myasthenia gravis involves:
Correct Answer: B
Rationale: Myasthenia gravis is an autoimmune disorder causing impaired nerve-to-muscle communication, leading to muscle weakness, particularly in voluntary muscles.
Question 2 of 5
A client with Addison's disease has been receiving glucocorticoid therapy. Which finding indicates a need for dosage adjustment?
Correct Answer: C
Rationale: A weight gain of 6 pounds in a week suggests fluid retention, indicating possible overdosage of glucocorticoids, requiring adjustment.
Question 3 of 5
The physician has ordered 2 units of whole blood for a client following surgery. To provide for client safety, the nurse should:
Correct Answer: B
Rationale: Using a new administration set for each unit prevents contamination and ensures accurate delivery, enhancing transfusion safety.
Question 4 of 5
Which of the following is a characteristic of an ominous periodic change in the fetal heart rate?
Correct Answer: D
Rationale: A recurrent fetal heart rate of 90-100 bpm at contraction ends indicates severe distress, an ominous sign.
Question 5 of 5
A client on the post-op floor underwent surgery 4 days ago. The night nurse reports to the nurse coming on to dayshift that the client complained all night of pain, even though she received every dose of prescribed pain medication. The client currently rates the pain at a 10 out of 10. The day shift nurse should first
Correct Answer: D
Rationale: Persistent severe pain post-op suggests a complication (e.g., infection, hemorrhage). A full assessment is the priority to identify the cause before adjusting treatment.