NCLEX-RN
NCLEX RN Practice Questions
Extract:
Question 1 of 5
A client with chronic pain is being treated with opioid administration via epidural route. Which medication would it be most important to have available due to a possible complication of this pain relief procedure?
Correct Answer: B
Rationale: Epidural opioids can cause respiratory depression, a life-threatening complication. Naloxone (Narcan) is an opioid antagonist that reverses this effect, making it critical to have available. The other medications address pain, allergies, or nausea, not opioid-related complications.
Question 2 of 5
The nurse is monitoring the labs of a client admitted with viral hepatitis. Which of the following lab findings would the nurse expect for this client? Select all that apply.
Correct Answer: B, C, D
Rationale: Viral hepatitis typically causes increased AST, elevated ammonia, and low serum albumin due to liver damage, while ALT is usually increased, not decreased, and prothrombin time is prolonged.
Question 3 of 5
Which of the following nursing interventions has the highest priority for the client scheduled for an intravenous pyelogram?
Correct Answer: B
Rationale: Asking about shellfish allergies is critical, as iodine-based contrast used in IVP can cause severe allergic reactions in those with shellfish or iodine allergies.
Question 4 of 5
A client admitted to the psychiatric unit claims to be the Pope and insists that he will not be kept away from his subjects. The most likely explanation for the client's delusion is:
Correct Answer: C
Rationale: Delusions of grandeur, such as claiming to be the Pope, often stem from low self-esteem, compensating with an inflated sense of identity.
Question 5 of 5
A client is admitted with a Ewing's sarcoma. Which symptoms would be expected due to this tumor's location?
Correct Answer: D
Rationale: Ewing's sarcoma typically affects bones, causing localized bone pain as a primary symptom.