NCLEX-RN
NCLEX RN Practice Test Questions
Extract:
Question 1 of 5
A client with hypothyroidism asks the nurse if she will still need to take thyroid medication during the pregnancy. The nurse's response is based on the knowledge that:
Correct Answer: B
Rationale: Pregnancy increases thyroid gland size, often requiring adjusted thyroid medication doses.
Question 2 of 5
A newborn diagnosed with bilateral choanal atresia is scheduled for surgery soon after delivery. The nurse recognizes the immediate need for surgery because the newborn:
Correct Answer: D
Rationale: Bilateral choanal atresia blocks the nasal passages, preventing nasal breathing, which is critical for newborns who are obligate nose breathers.
Question 3 of 5
The nurse is administering afternoon medications, which include an antihypertensive med and aspirin for pain relief. Which of the following should the nurse do first before administering the medications?
Correct Answer: A
Rationale: Verifying the client’s identity using two identifiers (name and date of birth on wristband) ensures medication safety per protocol.
Question 4 of 5
A hospice client is to receive 4 mg of morphine sulfate (MS) subcutaneously from a vial that contains 10 mg/mL. How many milliliters of MS should the patient receive to equal a dose of 4 mg? Record your answer using one decimal place.
Correct Answer: 0.4
Rationale: Dose = 4 mg, concentration = 10 mg/mL. Volume = 4 m/10 mg/mL = 0.4 mL.
Question 5 of 5
The nurse caring for a client with a head injury would recognize which assessment finding as the most indicative of increased ICP?
Correct Answer: D
Rationale: Papilledema (optic disc swelling) is a specific sign of increased ICP due to pressure on the optic nerve. Nausea, headache, and dizziness are less specific.