NCLEX-RN
NCLEX-RN Exam Practice Questions
Extract:
Question 1 of 5
A client has been instructed in how to take her nitroglycerin tablets. The nurse giving her instructions knows the client understands the information when she tells her:
Correct Answer: C
Rationale: Headaches may occur after taking nitroglycerin because of vasodilation. The tablets do not need to be refrigerated. The client should carry them with her. The client should contact the physician if repeated doses of nitroglycerin do not relieve the discomfort. Nitroglycerin tablets should be dissolved under the tongue, not swallowed.
Question 2 of 5
A client with a history of a stroke is receiving tPA (alteplase). The nurse should:
Correct Answer: A
Rationale: tPA, a thrombolytic, increases bleeding risk, requiring close monitoring for signs like hematuria or hematoma. It’s given over 1 hour, glucose is unrelated, and fluids are not restricted.
Question 3 of 5
The nurse is caring for a client with a diagnosis of postpartum depression. Which intervention is most appropriate?
Correct Answer: B
Rationale: Postpartum depression benefits from psychosocial interventions like support groups which provide emotional support and coping strategies. Magnesium sulfate antibiotics and physical activity are not specific treatments for postpartum depression.
Question 4 of 5
The nurse is caring for a client with a diagnosis of gestational trophoblastic disease. Which intervention is most appropriate?
Correct Answer: A
Rationale: Gestational trophoblastic disease requires monitoring hCG levels to assess for resolution or progression to malignancy (e.g. choriocarcinoma).
Tocolytics fetal monitoring and vaginal delivery are not indicated as there is no viable fetus.
Question 5 of 5
The nurse is assessing a client with suspected hypovolemic shock. Which finding is most indicative?
Correct Answer: A
Rationale: Tachycardia is a hallmark of hypovolemic shock, compensating for reduced blood volume. Hypothermia (
B) is secondary, bradypnea (
C) is atypical, and hypertension (
D) is not associated.