NCLEX-RN
NCLEX RN Practice Tests Questions
Extract:
Question 1 of 5
A client with rheumatoid arthritis tells the nurse that she is having increasing difficulty cooking, cleaning, and attending to activities of daily living. Which of the following referrals is the most appropriate?
Correct Answer: A
Rationale: An occupational therapist (
A) helps clients with rheumatoid arthritis adapt to difficulties with daily activities through adaptive techniques and equipment. Physical therapy (
B), home health (
C), or assisted living (
D) may be secondary.
Question 2 of 5
The physician has ordered that a serum trough level be drawn for a medication. Which of the following is the correct time to draw blood for a trough level?
Correct Answer: D
Rationale: A trough level is drawn immediately before a scheduled dose (
D) to measure the lowest drug concentration in the blood. Other times (A, B,
C) do not reflect the trough level.
Question 3 of 5
What clinical manifestation is most indicative of possible carbon monoxide poisoning?
Correct Answer: C
Rationale: Cherry red mucous membranes are a hallmark of carbon monoxide poisoning due to carboxyhemoglobin formation, which gives tissues a bright red appearance.
Question 4 of 5
The nurse is teaching a client with a new diagnosis of epilepsy about self-care. Which of the following instructions should the nurse include?
Correct Answer: A
Rationale: avoiding swimming or bathing alone reduces the risk of injury during a seizure
Question 5 of 5
The nurse is assessing a client following the removal of a pituitary tumor. The nurse notes that the urinary output has increased and that the urine is very dilute. The nurse should give priority to:
Correct Answer: A
Rationale: Increased dilute urine suggests diabetes insipidus, a complication of pituitary surgery, requiring immediate physician notification for evaluation and treatment.