NCLEX-RN
NCLEX RN Practice Questions
Extract:
Question 1 of 5
A client has had a central catheter inserted for administration of parenteral nutrition. An X-ray was taken to ensure correct positioning prior to commencing infusions. The X-ray report indicates that the catheter tip is in the right atrium. Which of the following actions by the nurse is correct?
Correct Answer: A
Rationale: Catheter tip in the right atrium is too far; infusion should be held and the MD notified (
A) for repositioning. Adjusting the catheter (B,
D) or starting infusion (
C) is unsafe.
Question 2 of 5
While assessing the postpartal client, the nurse notes that the fundus is displaced to the right. Based on this finding, the nurse should:
Correct Answer: A
Rationale: A fundus displaced to the right suggests bladder distention, which can be resolved by asking the client to void.
Question 3 of 5
The physician has ordered Eskalith (lithium carbonate) 500 mg three times a day and Risperdal (risperidone) 2 mg twice daily for a client admitted with bipolar disorder, acute manic episodes. The best explanation for the client's medication regimen is:
Correct Answer: B
Rationale: Risperidone controls acute manic symptoms like agitation, while lithium stabilizes mood over time, a common combination for bipolar mania.
Question 4 of 5
Which finding is associated with secondary syphilis?
Correct Answer: D
Rationale: Secondary syphilis is characterized by a generalized rash, often on the palms and soles.
Question 5 of 5
The nurse asked the client if he has an advance directive. The reason for asking the client this question is:
Correct Answer: B
Rationale: An advance directive clarifies the client's wishes, reducing family confusion during critical medical decisions.