NCLEX-RN
Free NCLEX RN Practice Test Questions
Extract:
Question 1 of 5
A diagnosis of multiple sclerosis is often delayed because of the varied symptoms experienced by those affected with the disease. Which symptom is most common in those with multiple sclerosis?
Correct Answer: B
Rationale: Double vision (diplopia) is a common early symptom of multiple sclerosis due to demyelination affecting cranial nerves, particularly the optic and oculomotor nerves.
Question 2 of 5
The nurse is caring for a client with dementia who has pulled out three peripheral IVs. Which intervention by the nurse is the best way to manage this client?
Correct Answer: C
Rationale: Wrapping the IV in gauze hides it from view, reducing the likelihood of the client pulling it out, while being less invasive than restraints or threats.
Question 3 of 5
A client is scheduled for knee replacement surgery, and the nurse is reviewing preoperative laboratory results. The nurse should notify the physician about which of the following abnormal laboratory results?
Correct Answer: A
Rationale: A platelet count of 119,000 (
A) is below the normal range (150,000-450,000), increasing bleeding risk during surgery, and should be reported. Glucose 83 (
B), hemoglobin 13.7 (
C), and sodium 141 (
D) are within normal limits.
Question 4 of 5
A client who has glaucoma is to have miotic eyedrops instilled in both eyes. The nurse knows that the purpose of the medication is to:
Correct Answer: C
Rationale: Miotics constrict the pupils, increasing aqueous humor outflow to reduce intraocular pressure in glaucoma.
Question 5 of 5
A nurse asks an unlicensed assistive personnel (UAP) to help admit a 22-year-old female client with ulcerative colitis. Which activity is appropriate for the nurse to assign the UAP?
Correct Answer: A
Rationale: Obtaining a stool sample is within the UAP’s scope, as it is a non-invasive task. Other activities involve assessment or teaching, which require RN expertise.