NCLEX-RN
NCLEX RN Practice Test Questions
Extract:
Question 1 of 5
A client with B negative blood requires a blood transfusion during surgery. If no B negative blood is available, the client should be transfused with:
Correct Answer: C
Rationale: O negative blood is the universal donor type, safe for transfusion in emergencies when B negative blood is unavailable.
Question 2 of 5
Place the following metric capacity measures (in Roman numerals) in the correct position from smallest to largest. I. Deciliter II. Milliliter III. Dekaliter IV. Kiloliter. V. Hectoliter.
Order the Items
Source Container
Correct Answer: B,A,E,C,D
Rationale: The correct order from smallest to largest is: Milliliter (II), Deciliter (I), Hectoliter (V), Dekaliter (III), Kiloliter (IV), fitting the table positions with Centiliter (
A) and Liter (
B) as reference points.
Question 3 of 5
Where is the best site for examining for the presence of petechiae in an African American client?
Correct Answer: C
Rationale: The earlobes are a reliable site to assess petechiae in dark-skinned individuals, as they are less pigmented and allow easier visualization of small hemorrhages.
Question 4 of 5
The nurse is infusing total parenteral nutrition (TPN). The primary purpose for closely monitoring the client's intake and output is:
Correct Answer: D
Rationale: Monitoring intake and output during TPN helps prevent fluid overload, a risk due to the high volume and osmolarity of the solution.
Question 5 of 5
A client with a peptic ulcer had a partial gastrectomy and vagotomy (Billroth I). In planning the discharge teaching, the client should be cautioned by the nurse about which of the following?
Correct Answer: D
Rationale: basic guidelines to teach a postgastrectomy client are measures to prevent dumping syndrome, which include: lying down for 30 minutes after meals, drinking fluids between meals, and reducing intake of carbohydrates