NCLEX-RN
NCLEX-RN Exam Questions
Extract:
Question 1 of 5
A client with a history of a stroke is being taught to use a communication board. The nurse should:
Correct Answer: C
Rationale: Placing the communication board on the client’s strong side facilitates use, especially with hemiplegia. Loud speech, complex sentences, and limiting gestures are unhelpful.
Question 2 of 5
A client with a diagnosis of Amyotrophic Lateral Sclerosis (ALS) has been prescribed riluzole (Rilutek). Which does the nurse include when teaching the client about this drug?
Correct Answer: A, C, D, E
Rationale: Riluzole teaching includes avoiding alcohol (
A), reporting fever (
C), consistent timing (
D), and regular lab monitoring (E). Taking with food (
B) is not required.
Question 3 of 5
During a change of shift, the oncoming nurse notes a discrepancy in the narcotic count. The nurse’s first action should be to:
Correct Answer: B
Rationale: A discrepancy in the narcotic count requires immediate investigation to ensure patient safety and compliance. Notifying the nursing supervisor is the first step, as they can initiate an internal review. The pharmacist, board, or director are notified later if needed.
Question 4 of 5
The client is admitted with a diagnosis of molar pregnancy. Which diagnostic test is most appropriate?
Correct Answer: C
Rationale: Ultrasound reveals the characteristic “snowstorm” pattern of molar pregnancy and elevated serum hCG levels confirm the diagnosis. Both tests are essential.
Question 5 of 5
Two weeks after a client's admission for depression, the physician orders a consult for electroconvulsive therapy (ECT). Which of the following conditions, if present, would be a contraindication for ECT?
Correct Answer: A
Rationale: A contraindication for ECT is a space-occupying lesion such as a brain tumor. During ECT, intracranial pressure increases.
Therefore, ECT would not be prescribed for a client whose intracranial pressure is already elevated.