NCLEX-RN
NCLEX RN Practice Questions
Extract:
Question 1 of 5
A medication error has occurred, and the client has received double the ordered dosage of magnesium sulfate. The nurse anticipates the physician will order what medication STAT?
Correct Answer: D
Rationale: Magnesium sulfate overdose causes hypermagnesemia, treated with calcium gluconate to counteract toxicity (e.g., respiratory depression, hypotension).
Question 2 of 5
The nurse is educating a couple about permanent methods of birth control. Vasectomy for the male is discussed. The nurse explains that which organ is cut or sealed off to prevent sperm from entering semen?
Correct Answer: C
Rationale: The **vas deferens** is cut or sealed during a vasectomy to prevent sperm from entering semen, ensuring sterility.
Question 3 of 5
The physician is preparing to remove a central line. The nurse should tell the client to:
Correct Answer: C
Rationale: Holding the breath during central line removal prevents air from being drawn into the vein, reducing the risk of air embolus.
Question 4 of 5
A client admitted to the psychiatric unit claims to be the Pope and insists that he will not be kept away from his subjects. The most likely explanation for the client's delusion is:
Correct Answer: C
Rationale: Delusions of grandeur, such as claiming to be the Pope, often stem from low self-esteem, compensating with an inflated sense of identity.
Question 5 of 5
A client has an order for streptokinase. Before administering the medication, the nurse should assess the client for:
Correct Answer: B
Rationale: A history of streptococcal infections may increase the risk of allergic reactions to streptokinase, a thrombolytic derived from streptococci.