NCLEX-RN
NCLEX-RN Exam Practice Questions
Extract:
Question 1 of 5
A client returns to the cardiovascular intensive care unit following his coronary artery bypass graft. In planning his care, the most important electrolyte the nurse needs to monitor will be:
Correct Answer: C
Rationale: Potassium will need to be closely monitored because of its effects on the heart. Hypokalemia could result in supraventricular tachyarrhythmias.
Question 2 of 5
The client is admitted with a diagnosis of gestational trophoblastic disease. Which diagnostic test is most likely to be ordered?
Correct Answer: C
Rationale: Serum hCG levels are markedly elevated in gestational trophoblastic disease and ultrasound reveals a characteristic “snowstorm” pattern or grape-like vesicles. Both tests are essential for diagnosis.
Question 3 of 5
A client with a history of a stroke is receiving tPA (alteplase). The nurse should:
Correct Answer: A
Rationale: tPA, a thrombolytic, increases bleeding risk, requiring close monitoring for signs like hematuria or hematoma. It’s given over 1 hour, glucose is unrelated, and fluids are not restricted.
Question 4 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 5 of 5
The nurse is caring for a client following a right nephrolithotomy. Post-operatively, the client should be positioned:
Correct Answer: C
Rationale: Positioning on the left side helps reduce pressure on the surgical site (right kidney) and promotes drainage and comfort post-nephrolithotomy.