NCLEX-RN
Free NCLEX RN Practice Test Questions
Extract:
Question 1 of 5
A client with liver failure and ascites is having a paracentesis to relieve severe dyspnea resulting from abdominal fluid accumulation. Prior to the procedure, the nurse assists the client to urinate. Which of the following is the most important reason to have the patient urinate?
Correct Answer: C
Rationale: Urinating before paracentesis prevents bladder puncture (
C) by emptying the bladder, reducing risk during needle insertion.
Question 2 of 5
Vitamin K is administered to the newborn shortly after birth for which of the following reasons?
Correct Answer: D
Rationale: Vitamin K is given to newborns to facilitate clotting, preventing hemorrhagic disease due to low vitamin K levels.
Question 3 of 5
A nurse is floated to oncology from the postsurgical floor. The assigned client is almost finished with an infusion of doxorubicin for breast cancer. The floated nurse is not chemotherapy certified. Which nursing action is the priority in this situation?
Correct Answer: D
Rationale: The priority is to inform the charge nurse of the lack of chemotherapy certification, as doxorubicin requires specialized handling and monitoring.
Question 4 of 5
While reviewing the chart of a client with a history of hepatitis B, the nurse finds a serologic marker of HBsAg. The nurse recognizes that the client:
Correct Answer: A
Rationale: Presence of HBsAg indicates active hepatitis B infection, either acute or chronic, and potential infectivity.
Question 5 of 5
A client with cirrhosis has developed signs of heptorenal syndrome. Which diet is most appropriate for the client at this time?
Correct Answer: C
Rationale: Low protein and low sodium diets reduce the burden on the liver and kidneys in hepatorenal syndrome.