NCLEX-RN
NCLEX RN Practice Questions
Extract:
Question 1 of 5
A client with suspected leukemia is to undergo a bone marrow aspiration. The nurse plans to include which statement in the teaching session?
Correct Answer: B
Rationale: Bone marrow aspiration can cause pain or discomfort during needle insertion and aspiration. Informing the client prepares them for the procedure and helps manage expectations.
Question 2 of 5
The nurse caring for a client after a suspected CVA recognizes which nursing diagnosis as the priority?
Correct Answer: C
Rationale: Alteration in cerebral tissue perfusion is the priority after a CVA, as it directly affects brain oxygenation and function, impacting all other functions.
Question 3 of 5
The physician has ordered lab work for a client with suspected disseminated intravascular coagulation (DIC). Which lab finding would provide a definitive diagnosis of DIC?
Correct Answer: C
Rationale: Fibrin split products (FSPs) are specific to DIC, indicating widespread clotting and fibrinolysis, confirming the diagnosis.
Question 4 of 5
The nurse is reviewing labs on a client receiving IV heparin and notes an INR of 4.6. Which order by the health care provider does the nurse anticipate?
Correct Answer: B
Rationale: Protamine sulfate is the antidote for heparin overdose, appropriate for an elevated INR indicating excessive anticoagulation.
Question 5 of 5
After a discharge, there is a private room available on the floor. The nurse should move which client to the private room?
Correct Answer: B
Rationale: Pityriasis rosea is a potentially contagious rash, warranting a private room to prevent spread. The other conditions are not infectious.