NCLEX-RN
NCLEX-RN Exam Practice Questions
Extract:
Question 1 of 5
A client has an order to administer cisplatin (Platinol). Which drug would the nurse expect to be ordered to reduce renal toxicity from the cisplatin infusion?
Correct Answer: A
Rationale: Amifostine protects kidneys from cisplatin’s nephrotoxicity by neutralizing free radicals. Dexrazoxane (
B) protects the heart, Mesna (
C) prevents bladder toxicity, and Pamidronate (
D) treats hypercalcemia.
Question 2 of 5
The charge nurse witnesses the nursing assistant hitting an elderly client in the long-term care facility. The nursing assistant can be charged with:
Correct Answer: C
Rationale: Hitting a client constitutes assault, a deliberate act causing harm or fear of harm. Negligence involves failure to act, tort is a broader legal term, and malpractice applies to professional errors, not intentional harm.
Question 3 of 5
A 10-month-old infant's mother says that he takes fresh whole milk eagerly, but that when she offered him baby foods at 6 months of age, he pushed them out of his mouth. Because he has gained weight appropriately, she has quit trying to get him to eat other foods. The nurse's response is based on the knowledge that:
Correct Answer: D
Rationale: Giving the solid food when the infant is hungriest will increase the likelihood that he will eat. The more solid food he takes, the less milk he will desire, ensuring a balanced diet.
Question 4 of 5
The nurse reviewing the lab results of a client receiving Cytoxan (cyclophosphamide) for Hodgkin's lymphoma finds the following: WBC 4,200, RBC 3,800,000, platelets 25,000, and serum creatinine 1.0 mg. The nurse recognizes that the greatest risk for the client at this time is:
Correct Answer: B
Rationale: A platelet count of 25,000 indicates severe thrombocytopenia, posing a significant risk of bleeding, which is the greatest immediate concern compared to infection, anemia, or renal failure.
Question 5 of 5
A postoperative prostatectomy client is preparing for discharge from the hospital the next morning. The nurse realizes that additional instructions are necessary when he states:
Correct Answer: C
Rationale: This is correct health teaching. Drinking 10-12 glasses of clear liquid will help increase urine volumes and prevent clot formation. This is correct health teaching. These types of exercises are prescribed by physicians to assist postprostatectomy clients to strengthen their perineal muscles. This action is not recommended post-TURP because of the close proximity of the prostate and rectum. This is correct healthcare teaching. The client should limit walking long distances, lifting heavy objects, or driving a car until these activities are cleared by the physician at the first office visit.