NCLEX-RN
NCLEX RN Practice Test Questions
Extract:
Question 1 of 5
A client is receiving gentamicin sulfate (Gentamicin) injections as part of her treatment regimen for a pseudomonas infection. The nurse knows to assess for what potential adverse reaction to this medication?
Correct Answer: D
Rationale: Gentamicin, an aminoglycoside, is associated with ototoxicity (hearing loss or balance issues) as a major adverse effect, requiring close monitoring.
Question 2 of 5
A client with B negative blood requires a blood transfusion during surgery. If no B negative blood is available, the client should be transfused with:
Correct Answer: C
Rationale: O negative blood is the universal donor type, safe for transfusion in emergencies when B negative blood is unavailable.
Question 3 of 5
A young adult who was in a motorcycle accident is brought to the emergency room with a closed head injury with suspected subdural hematoma. Although the client complains of a severe headache, he is alert and answers questions appropriately. The nurse would question which of the following orders?
Correct Answer: B
Rationale: narcotic analgesic, causes CNS and respiratory depression, contraindicated in head injury because it masks signs of increased intracranial pressure
Question 4 of 5
The nurse is talking with a client who has been diagnosed with thyroid cancer. The client is asking about different treatment options. Which response by the nurse is most appropriate?
Correct Answer: C
Rationale: This response encourages open communication and assesses the client's current knowledge, facilitating a patient-centered discussion about treatment options.
Question 5 of 5
The nurse is assessing a client who has a sacral pressure ulcer. The wound has partial thickness, loss of dermis, and a red-pink wound bed. No slough is present. How would the nurse chart this wound?
Correct Answer: B
Rationale: A partial-thickness ulcer with loss of dermis and a red-pink bed is Stage II. Stage I is non-blanchable redness, Stage III involves full-thickness loss, and Stage IV exposes muscle or bone.