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
The nurse is preparing to discharge a client following a laparoscopic cholecystectomy. The nurse should:
Correct Answer: D
Rationale: Pain in the back or shoulders post-laparoscopic cholecystectomy may indicate referred pain from residual CO2 or complications, requiring prompt reporting.
Question 3 of 5
A client is being treated with internal radiation (brachytherapy). The nurse explains to the client that
Correct Answer: C
Rationale: Brachytherapy requires distance precautions; visitors must stay 6 feet away to minimize radiation exposure. Gowns/masks are not needed, visitors are allowed, and gifts do not become radioactive.
Question 4 of 5
The nurse is performing discharge teaching on a client with polycythemia vera. Which would be included in the teaching plan?
Correct Answer: D
Rationale: Polycythemia vera increases blood viscosity, raising thrombosis risk. Teaching clients to recognize thrombosis symptoms (e.g., swelling, pain) is critical for early intervention.
Question 5 of 5
The nurse is caring for a client with scalding burns across the face, neck, upper half of the anterior chest, and entire right arm. Using the rule of nines, estimate the percentage of body burned.
Correct Answer: B
Rationale: Rule of nines: face/neck (4.5% head anterior), upper half anterior chest (4.5% anterior torso/2 = 2.25%), right arm (9%) = 4.5 + 2.25 + 9 = 23%.