NCLEX-RN
NCLEX RN Practice Questions
Extract:
Question 1 of 5
A client has returned from having a bronchoscopy. Before offering the client sips of water, the nurse should assess the client's:
Correct Answer: C
Rationale: Assessing the gag reflex ensures the client can swallow safely post-bronchoscopy due to local anesthesia.
Question 2 of 5
A pregnant client at 36 weeks' gestation has partial placenta previa and has been on bedrest at home for the previous 4 weeks. The client has started to have occasional contractions and is beginning to experience increasing vaginal bleeding. What intervention does the nurse anticipate?
Correct Answer: D
Rationale: Increasing bleeding with placenta previa at 36 weeks requires cesarean delivery (
D) to prevent hemorrhage.
Tocolytics (
A), induction (
B), or transfusions (
C) are not primary interventions.
Question 3 of 5
The nurse is caring for a client who is receiving chemotherapy for leukemia. The client’s latest laboratory results show a white blood cell count of 2,000/mm³. Which of the following nursing actions is the HIGHEST priority?
Correct Answer: C
Rationale: a white blood cell count of 2,000/mm³ indicates neutropenia, and initiating neutropenic precautions is the priority to prevent infection
Question 4 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 5 of 5
A nurse manager and a case manager are talking to a group of new nurses about the differences of case management and care coordination. The nurse manager understands which to be true regarding the differences?
Correct Answer: C
Rationale: Case management focuses on holistic care and client-family dynamics, coordinating resources to meet complex needs. Other options are less accurate or incomplete.