NCLEX-RN
NCLEX RN Practice Questions
Extract:
Question 1 of 5
A client has an order for streptokinase. Before administering the medication, the nurse should assess the client for:
Correct Answer: B
Rationale: A history of streptococcal infections may increase the risk of allergic reactions to streptokinase, a thrombolytic derived from streptococci.
Question 2 of 5
The client admitted 2 days earlier with a lung resection accidentally pulls out the chest tube. Which action by the nurse indicates understanding of the management of chest tubes?
Correct Answer: C
Rationale: Covering the insertion site with Vaseline gauze prevents air from entering the pleural space, which is the priority action for a dislodged chest tube.
Question 3 of 5
A woman comes to a community health clinic and expresses concern she may have been exposed to HIV. The community nurse draws blood for an ELISA test, which comes back as positive. The nurse should
Correct Answer: B
Rationale: A positive ELISA requires confirmation with a Western blot test to diagnose HIV, ensuring accuracy and reducing false positives.
Question 4 of 5
A 25-year-old client with a goiter is admitted to the unit. What would the nurse expect the admitting assessment to reveal?
Correct Answer: C
Rationale: A goiter associated with hyperthyroidism may cause exophthalmos (bulging eyes) due to increased thyroid hormone levels.
Question 5 of 5
A nurse on the medical floor notices an increase in urinary tract infections (UTIs) among clients with indwelling urinary catheters. He records the findings and works with the unit manager and another nurse to develop a UTI risk assessment tool. Which is the correct description of the nurse's actions?
Correct Answer: D
Rationale: Developing a UTI risk assessment tool to reduce infections is a quality improvement initiative aimed at enhancing patient care outcomes.