NCLEX-RN
NCLEX RN Practice Questions
Extract:
Question 1 of 5
A client returns from surgery with a total knee replacement. Which of the following findings requires immediate nursing intervention?
Correct Answer: B
Rationale: A CPM set at 90° flexion immediately post-knee replacement is excessive and could damage the surgical site, requiring immediate adjustment.
Question 2 of 5
The nurse is reviewing labs on a client receiving IV heparin and notes an INR of 4.6. Which order by the health care provider does the nurse anticipate?
Correct Answer: B
Rationale: Protamine sulfate is the antidote for heparin overdose, appropriate for an elevated INR indicating excessive anticoagulation.
Question 3 of 5
An older client says that she frequently experiences stress incontinence and may have to stop playing golf because swinging the golf club often results in small amounts of urinary incontinence. Which of the following suggestions may be most effective?
Correct Answer: B
Rationale: The 'knack' (
B), contracting pelvic floor muscles before swinging, can prevent stress incontinence. Deep breathing (
A) is ineffective, pads (
C) manage but don't prevent, and urinating beforehand (
D) is less effective.
Question 4 of 5
A medication error has occurred, and the client has received double the ordered dosage of magnesium sulfate. The nurse anticipates the physician will order what medication STAT?
Correct Answer: D
Rationale: Magnesium sulfate overdose causes hypermagnesemia, treated with calcium gluconate to counteract toxicity (e.g., respiratory depression, hypotension).
Question 5 of 5
An elderly client with moderate Alzheimer's disease lives with her daughter and appears dirty and disheveled and has lost five pounds over the previous month. Which of the following does the nurse suspect?
Correct Answer: B
Rationale: The client's dirty, disheveled appearance and weight loss suggest caregiver neglect (
B), as the daughter may not be providing adequate care. Physical abuse (
A) would involve evidence of injury, self-neglect (
C) is unlikely given the client's Alzheimer's, and psychological abuse (
D) involves emotional harm, not physical neglect.