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
During the initial interview, the client reports that she has a lesion on the perineum. Further investigation reveals a small blister on the vulva that is painful to touch. The nurse is aware that the most likely source of the lesion is:
Correct Answer: B
Rationale: A painful blister on the vulva is most consistent with genital herpes, caused by the herpes simplex virus.
Question 3 of 5
The physician has ordered lab work for a client with suspected disseminated intravascular coagulation (DIC). Which lab finding would provide a definitive diagnosis of DIC?
Correct Answer: C
Rationale: Fibrin split products (FSPs) are specific to DIC, indicating widespread clotting and fibrinolysis, confirming the diagnosis.
Question 4 of 5
The nurse is working in the trauma unit of the emergency room when a 24-year-old female is admitted after an MVA. The client is bleeding profusely and a blood transfusion is ordered. Which would the nurse be prepared to administer without a type and crossmatch?
Correct Answer: D
Rationale: O negative blood is the universal donor type, safe for transfusion without type and crossmatch in emergencies, as it lacks antigens that could cause reactions.
Question 5 of 5
A 37-year-old postpartum client explains to the nurse she had a deep vein thrombosis (DVT) after the birth of her last child. To help prevent a DVT during this hospital stay, the nurse should encourage the client to do all of the following EXCEPT
Correct Answer: C
Rationale: Ambulation promotes circulation and prevents DVT. Limiting ambulation increases risk. Stockings, hydration, and leg elevation reduce DVT risk.