NCLEX-RN
NCLEX RN Practice Questions
Extract:
Question 1 of 5
A primigravida, age 42, is 6 weeks pregnant. Based on the client's age, her infant is at risk for:
Correct Answer: A
Rationale: Advanced maternal age (over 35) increases the risk of Down syndrome in the fetus.
Question 2 of 5
A 15-year-old client took a full bottle of extra-strength acetaminophen in a suicide attempt 5 hours prior to admission to the emergency department for treatment, and the serum level of the drug is 180 mcg/mL. Which of the following interventions does the nurse anticipate? Select all that apply.
Correct Answer: A,B,C,D,E
Rationale: Acetaminophen overdose requires NAC (
A), supportive care (
B), charcoal if within 4-8 hours (
C), hepatic monitoring (
D), and psychiatric consultation (E) for suicide attempt.
Question 3 of 5
The nurse is admitting a new client to the medical unit. When asked about advance directives, the client says, 'I'm not really sure what that is, but I trust my doctor to do whatever he thinks I need.' Which is the correct action by the nurse?
Correct Answer: C
Rationale: Educating the client about advance directives empowers informed decision-making and respects autonomy.
Question 4 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 5 of 5
The nurse is discussing cigarette smoking with an emphysema client. The client states, 'I don't know why I should worry about cancer.' The nurse's response is based on the fact that the most important reason for a client with emphysema to avoid smoking is that it:
Correct Answer: C
Rationale: Smoking destroys lung parenchyma in emphysema, worsening alveolar damage and impairing gas exchange, making it the primary reason to avoid smoking.