NCLEX-RN
NCLEX RN Practice Exam Questions
Extract:
Question 1 of 5
A client is hospitalized with an acute myocardial infarction. Which nursing diagnosis reflects an understanding of the cause of acute myocardial infarction?
Correct Answer: B
Rationale: Impaired tissue perfusion due to coronary occlusion is the primary cause of acute myocardial infarction.
Question 2 of 5
The nurse receives an order for blood cultures and sensitivity for a client. Which statement is correct concerning this test?
Correct Answer: B
Rationale: Blood culture results typically take 48–72 hours for organism identification. Stopping antibiotics or culturing catheter tips is not standard practice.
Question 3 of 5
While caring for a client with cervical cancer, the nurse notes that the radioactive implant is lying in the bed. The nurse should:
Correct Answer: C
Rationale: Radioactive implants must be handled with tongs and placed in a lead-lined container to minimize radiation exposure, per safety protocols.
Question 4 of 5
The client returns to the recovery room following repair of an abdominal aneurysm. Which finding would require further investigation?
Correct Answer: B
Rationale: Low urinary output (20 mL/hour) may indicate renal impairment or hypoperfusion, requiring further investigation.
Question 5 of 5
A client with cancer who is receiving chemotherapeutic drugs has been given injections of (pegfilgastrin) Neulasta. Which laboratory value reveals that the drug is producing the desired effect?
Correct Answer: B
Rationale: Pegfilgrastim (Neulasta) stimulates white blood cell production. A WBC count of 6,000/mm indicates the drug is effective in preventing neutropenia.