NCLEX Questions, Free NCLEX RN Exam Questions, NCLEX-RN Ques

Extract:

Question 1 of 5

A client is scheduled to undergo a bone marrow aspiration from the sternum. What position would the nurse assist the client into for this procedure?

Correct Answer: B

Rationale: Supine position provides access to the sternum for bone marrow aspiration. Dorsal recumbent (
A) is for abdominal exams, High Fowler’s (
C) is for breathing, and lithotomy (
D) is for pelvic procedures.

Question 2 of 5

When discussing the relationship between exercise and insulin requirements, a 26-year-old client with IDDM should be instructed that:

A. When exercise is increased, insulin needs are increased B. When exercise is increased, insulin needs are decreased C. When exercise is increased, there is no change in insulin needs D. When exercise is decreased, insulin needs are decreased

Correct Answer: B

Rationale: Exercise decreased the blood sugar by promoting uptake of glucose by the muscles. Consequently, less insulin is needed to metabolize ingested carbohydrates. Extra food may be required for extra activity.

Question 3 of 5

A client with leukemia who has been receiving Trimetrexate (methotrexate) has an order for Wellcovorin (leucovorin). The rationale for administering Wellcovorin is to:

A. Treat anemia caused by the methotrexate B. Create a synergistic effect that shortens treatment time C. Increase the number of circulating neutrophils D. Reverse drug toxicity and prevent tissue damage

Correct Answer: D

Rationale: Leucovorin (Wellcovorin) is a rescue therapy given after methotrexate to reverse its toxicity and protect healthy cells from damage particularly in bone marrow and mucosal tissues. It does not treat anemia enhance synergy or increase neutrophils.

Question 4 of 5

An elderly patient has been taking 80 mg of furosemide (Lasix) bid. The nurse notes that the patient's most recent potassium level is 2.5mEq/L. The nurse should:

A. Continue the medication as ordered B. Administer the morning dose only C. Give the medication with orange juice D. Withhold the medication and notify the physician

Correct Answer: D

Rationale: A potassium level of 2.5 mEq/L indicates hypokalemia, a serious side effect of furosemide, a potassium-wasting diuretic. The nurse should withhold the medication and notify the physician to address the electrolyte imbalance.

Question 5 of 5

A nurse is taking a maternal history for a client at her first prenatal visit. Her pregnancy test was positive, she has two living children, she had one spontaneous abortion, and one infant died at the age of 3 months. Which of the following best describes the client at the present?

A. Gravida 4, para 2, ab 1 B. Gravida 5, para 3, ab 1 C. Gravida 5, para 4, ab 0 D. Gravida 4, para 3, ab 0

Correct Answer: B

Rationale: The client has been pregnant five times (current pregnancy, two living children, one spontaneous abortion, one infant death), delivered three children (two living, one died), and had one abortion.