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 orthopedic nurse should be particularly alert for a fat embolus in which of the following clients having the greatest risk for this complication after a fracture?
Correct Answer: C
Rationale: Fat embolism is most common in long bone fractures, especially the femur, and in young adults. A 21-year-old with a femur fracture is at highest risk.
Question 3 of 5
Twenty-four hours after an uncomplicated labor and delivery, a client's WBC is 12,000 cu/mm. The elevation in the client's WBC is most likely an indication of:
Correct Answer: A
Rationale: A WBC of 12,000 cu/mm post-delivery is a normal physiological response to the stress of labor and delivery.
Question 4 of 5
The nurse is caring for a client following a laryngectomy. The nurse can best help the client with communication by:
Correct Answer: A
Rationale: A pad and pencil allow the client, who cannot speak after a laryngectomy, to communicate effectively by writing messages.
Question 5 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.