NCLEX-RN
NCLEX RN Practice Questions
Extract:
Question 1 of 5
A pregnant client at 36 weeks' gestation has partial placenta previa and has been on bedrest at home for the previous 4 weeks. The client has started to have occasional contractions and is beginning to experience increasing vaginal bleeding. What intervention does the nurse anticipate?
Correct Answer: D
Rationale: Increasing bleeding with placenta previa at 36 weeks requires cesarean delivery (
D) to prevent hemorrhage.
Tocolytics (
A), induction (
B), or transfusions (
C) are not primary interventions.
Question 2 of 5
Which client can best be assigned to the newly licensed nurse?
Correct Answer: D
Rationale: The client with diverticulitis is typically stable and requires less complex care compared to clients receiving chemotherapy, post-coronary bypass, or post-TURP, which involve specialized monitoring and interventions. Assigning this client to a newly licensed nurse ensures manageable care responsibilities.
Question 3 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 4 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 5 of 5
The physician has ordered an IV bolus of Solu-Medrol (methylprednisolone sodium succinate) in normal saline for a client admitted with a spinal cord injury. Solu-Medrol has been shown to be effective in:
Correct Answer: C
Rationale: Solu-Medrol is used in acute spinal cord injuries to reduce inflammation and swelling, which can improve motor and sensory outcomes if given promptly.