NCLEX-RN
NCLEX RN Practice Exam Questions
Extract:
Question 1 of 5
A client with cancer who is receiving chemotherapeutic drugs has been given injections of (pegfilgastrin) Neulasta. Which laboratory value reveals that the drug is producing the desired effect?
Correct Answer: B
Rationale: Pegfilgrastim (Neulasta) stimulates white blood cell production. A WBC count of 6,000/mm indicates the drug is effective in preventing neutropenia.
Question 2 of 5
The doctor is preparing to remove chest tubes from the client's left chest. In preparation for the removal, the nurse should instruct the client to:
Correct Answer: B
Rationale: Holding breath and bearing down (Valsalva maneuver) prevents air entry into the pleural space during chest tube removal.
Question 3 of 5
A client with angina is experiencing migraine headaches. The physician has prescribed Sumatriptan succinate (Imitrex). Which nursing action is most appropriate?
Correct Answer: A
Rationale: Sumatriptan is contraindicated in clients with angina due to its vasoconstrictive effects, which can exacerbate ischemia. The nurse should question the prescription.
Question 4 of 5
A 25-year-old male is brought to the emergency room with a piece of metal in his eye. The first action the nurse should take is:
Correct Answer: C
Rationale: Covering both eyes prevents eye movement, reducing further damage.
Question 5 of 5
A 49-year-old female suffered a stroke that resulted in dysphagia. The dietician orders a diet of dysphagia-pureed foods. Which of the following foods would be an appropriate choice?
Correct Answer: C
Rationale: Custard is smooth and pureed, suitable for a dysphagia diet. Other options pose choking risks due to texture.