NCLEX-RN
NCLEX RN Practice Questions
Extract:
Question 1 of 5
A client with rheumatoid arthritis is receiving injections of Myochrysine (gold sodium thiomalate). Before administering the client's medication, the nurse should:
Correct Answer: A
Rationale: Checking lab work is essential to monitor for toxicity, such as renal or hematologic effects, from gold therapy.
Question 2 of 5
A 56-year-old male with a long history of alcohol abuse is brought to the detox center per terms of his probation. He had his last drink 6 hours ago and seems confused and agitated. The nurse expects the physician to order
Correct Answer: B
Rationale: Chlordiazepoxide (Librium), a benzodiazepine, is used to manage alcohol withdrawal symptoms like confusion and agitation, preventing seizures.
Question 3 of 5
The nurse would recognize which symptom as the most likely early indication of pneumonia in an elderly client?
Correct Answer: D
Rationale: Altered mental status is often the earliest sign of pneumonia in the elderly, as they may not present with typical symptoms like fever or chest pain.
Question 4 of 5
The nurse is preparing to administer an injection of haloperidol decanoate (Haldol D). Which of the following actions by the nurse is MOST appropriate?
Correct Answer: B
Rationale: medication is very irritating to subcutaneous tissue
Question 5 of 5
The nurse is performing a breast exam on a client when she discovers a mass. Which characteristic of the mass would most indicate a reason for concern?
Correct Answer: D
Rationale: A firm, immobile mass is more likely to be malignant. Tender, regular, or mobile masses are often benign, but firmness warrants further evaluation.