NCLEX-RN
NCLEX RN Practice Questions
Extract:
Question 1 of 5
A client with cancer is experiencing a common side effect of chemotherapy administration. Which laboratory assessment finding would cause the most concern?
Correct Answer: C
Rationale: A platelet count of 100,000/mm^3 indicates thrombocytopenia, a common chemotherapy side effect, increasing bleeding risk and requiring close monitoring.
Question 2 of 5
A client with a fractured tibia has a plaster-of-Paris cast applied to immobilize the fracture. Which action by the nurse indicates understanding of a plaster-of-Paris cast? The nurse:
Correct Answer: D
Rationale: Allowing 24 hours for the cast to dry prevents damage and ensures proper immobilization.
Question 3 of 5
The nurse caring for a client with myasthenia gravis recognizes which of the following as the priority nursing diagnosis?
Correct Answer: C
Rationale: Myasthenia gravis causes muscle weakness, including respiratory muscles, making ineffective airway clearance the priority due to risk of respiratory failure.
Question 4 of 5
The client is admitted from the emergency room with multiple injuries sustained from an auto accident. His doctor prescribes a histamine blocker. The nurse is aware that the reason for this order is to:
Correct Answer: C
Rationale: Histamine blockers (e.g., famotidine) are used post-trauma to prevent stress ulcers due to increased gastric acid production.
Question 5 of 5
Place the steps for an abdominal assessment in the correct order.
Order the Items
Source Container
Correct Answer: C,A,D,B
Rationale: Abdominal assessment order: inspection (visual assessment), auscultation (bowel sounds before manipulation), percussion (assess density), palpation (last to avoid altering bowel sounds).