NCLEX-RN
NCLEX-RN Exam Practice Questions
Extract:
Question 1 of 5
A client is being discharged after lithotripsy for removal of a kidney stone. Which statement by the client indicates understanding of the nurse's instructions?
Correct Answer: C
Rationale: Straining urine and saving stone fragments post-lithotripsy allows analysis and confirms stone passage. Starting in the morning (
A) is incorrect, saving all urine (
B) is unnecessary, and not straining (
D) misses stone collection.
Question 2 of 5
The physician has ordered an amniocentesis to determine the L/S ratio. The L/S ratio is a reliable indicator of:
Correct Answer: C
Rationale: The lecithin/sphingomyelin (L/S) ratio assesses fetal lung maturity by measuring surfactant levels in amniotic fluid. A ratio of 2:1 or higher indicates mature lungs reducing the risk of respiratory distress syndrome. It does not assess renal function Rh isoimmunization or anatomical abnormalities.
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 client is prescribed metronidazole (Flagyl) for a parasitic infection. Which side effect should the nurse monitor for?
Correct Answer: A
Rationale: Metronidazole commonly causes a metallic taste in the mouth. Hypotension, weight gain, and fever are not typical side effects.
Question 5 of 5
An 80-year-old male client with a history of arteriosclerosis is experiencing severe pain in his left leg that started approximately 20 minutes ago. When performing the admission assessment, the nurse would expect to observe which of the following:
Correct Answer: C
Rationale: This statement describes a normal assessment finding of the lower extremities. This assessment finding reflects problems caused by venous insufficiency. Decreased or absent pedal pulses reflect a problem caused by arterial insufficiency. The leg that is experiencing arterial insufficiency would be cool to touch due to the decreased circulation.