NCLEX-RN
NCLEX RN Practice Exam Questions
Extract:
Question 1 of 5
A client has been diagnosed with immune thrombocytic purpura (ITP). Which of the following signs and symptoms indicate increased thrombocytopenia? Select all that apply.
Correct Answer: A,B
Rationale: ITP causes low platelets, leading to nosebleeds (
A) and petechiae/bruising (
B). Vision changes (
C), numbness (
D), and confusion (E) are not typical.
Question 2 of 5
The nurse is working with another nurse and a patient care assistant. Which of the following clients should be assigned to the registered nurse?
Correct Answer: D
Rationale: A post-thoracotomy patient requires RN monitoring for respiratory complications.
Question 3 of 5
The primary reason for rapid continuous rewarming of the area affected by frostbite is to:
Correct Answer: A
Rationale: Rapid rewarming minimizes cellular damage by restoring blood flow and preventing further tissue injury in frostbite.
Question 4 of 5
Someone sees a nursing assistant yell at an elderly client and throw his lunch tray off the table. The nursing assistant could likely be charged with
Correct Answer: B
Rationale: Yelling and throwing a tray constitute assault (threatening behavior causing fear of harm). Battery involves physical contact, negligence involves failure to act, and malpractice applies to professional errors.
Question 5 of 5
The client is diagnosed with multiple myloma. The doctor has ordered cyclophosphamide (Cytoxan). Which instruction should be given to the client?
Correct Answer: D
Rationale: Cyclophosphamide can cause hemorrhagic cystitis; adequate hydration (e.g., 8 glasses of water) helps prevent this.