NCLEX-RN
Free NCLEX RN Exam 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 caused by autoantibodies blocking acetylcholine receptors, interrupting nerve impulse transmission to muscles, leading to weakness.
Question 2 of 5
A client delivered a stillborn male at term. An appropriate action of the nurse would be to:
Correct Answer: C
Rationale: This is not a supportive statement. There are also no data to indicate the family's religious beliefs. Seeing their baby assists the parents in the grieving process. This gives them the opportunity to say 'good-bye.' Parents need time to get to know their baby. This is not a comforting statement when a baby has died. There are also no guarantees that the couple will be able to have another child.
Question 3 of 5
The client is admitted with a diagnosis of preterm labor. Which intervention is most appropriate?
Correct Answer: D
Rationale: In preterm labor betamethasone enhances fetal lung maturity tocolytics (e.g. nifedipine) halt contractions and fetal heart tone monitoring assesses fetal well-being. All interventions are appropriate.
Question 4 of 5
A client with a history of a thyroidectomy is receiving Calcitonin (Miacalcin). The nurse should monitor the client for:
Correct Answer: A
Rationale: Calcitonin lowers serum calcium, risking hypocalcemia, requiring monitoring for symptoms like tingling. Hyperglycemia, hypotension, and weight gain are not primary concerns.
Question 5 of 5
The nurse is performing an assessment on a client with a history of pancreatitis. Which finding is most concerning?
Correct Answer: D
Rationale: Grey-Turner’s sign (flank bruising) indicates retroperitoneal hemorrhage in pancreatitis, a life-threatening complication requiring immediate attention. Other findings are common but less severe.