NCLEX-RN
NCLEX RN Practice Test Free Questions
Extract:
Question 1 of 5
A client with myasthenia gravis is admitted in a cholinergic crisis. Signs of of cholinergic crisis include:
Correct Answer: A
Rationale: Cholinergic crisis, due to excessive acetylcholinesterase inhibitors, causes symptoms like constricted pupils and decreased blood pressure from parasympathetic overstimulation.
Question 2 of 5
A client with severe anemia is to receive a unit of whole blood. In the event of a transfusion reaction, the first action by the nurse should be to:
Correct Answer: B
Rationale: Stopping the transfusion and maintaining an IV of normal saline is the first action to prevent further reaction and stabilize the client.
Question 3 of 5
Which of the following observations best indicates to the nurse that a paraplegic client can adequately carry out activities of daily living at home after discharge?
Correct Answer: B
Rationale: essential if client is to perform ADLs
Question 4 of 5
A client is receiving a blood transfusion following surgery. In the event of a transfusion reaction, any unused blood should be:
Correct Answer: D
Rationale: Unused blood must be returned to the blood bank for analysis in case of a transfusion reaction.
Question 5 of 5
An elderly client is diagnosed with ovarian cancer. She has surgery followed by chemotherapy with a fluorouracil (Adrucil) IV. What should the nurse do if she notices crystals in the IV medication?
Correct Answer: A
Rationale: Crystals in IV fluorouracil indicate precipitation; the solution should be discarded to prevent administration errors.