NCLEX-RN
Free NCLEX RN Exam Questions
Extract:
Question 1 of 5
A client with a history of a thyroidectomy is receiving Calcitonin (Miacalcin). The nurse should monitor the client for:
Correct Answer: A
Rationale: Calcitonin lowers serum calcium, risking hypocalcemia, requiring monitoring for symptoms like tingling. Hyperglycemia, hypotension, and weight gain are not primary concerns.
Question 2 of 5
The nurse is caring for a client with a history of a myocardial infarction. The client is receiving TPA (alteplase). The nurse should monitor the client for:
Correct Answer: A
Rationale: TPA, a thrombolytic, increases bleeding risk by dissolving clots. Monitoring for bleeding (e.g., gums, urine) is critical. Hypertension, hypoglycemia, and hyperthermia are not primary concerns.
Question 3 of 5
Arterial ulcers are best described as ulcers that:
Correct Answer: D
Rationale: Arterial ulcers caused by poor blood flow are typically painful due to tissue ischemia. They often have irregular borders a pale base and may be cool due to reduced circulation but pain is the most defining feature.
Question 4 of 5
The client is admitted to the unit with a diagnosis of abruptio placenta. Which finding is most significant when assessing this client?
Correct Answer: C
Rationale: Abruptio placenta involves placental separation which can compromise fetal oxygenation leading to abnormal fetal heart tones (e.g. bradycardia or late decelerations). This is the most significant finding as it indicates fetal distress. Bleeding pain and rigidity are relevant but secondary to fetal well-being.
Question 5 of 5
A 70-year-old client is almost finished receiving her second unit of packed red blood cells. The client, who weighs 80 lb, has started complaining of being short of breath and now has crackles in the bases of her lungs. After slowing or stopping the transfusion, the most appropriate initial nursing action would be to:
Correct Answer: A
Rationale: Raising the head and placing feet in a dependent position reduces venous return and pulmonary congestion, addressing transfusion-related circulatory overload.