NCLEX-RN
NCLEX-RN Exam Practice Questions
Extract:
Question 1 of 5
An 80-year-old male client with a history of arteriosclerosis is experiencing severe pain in his left leg that started approximately 20 minutes ago. When performing the admission assessment, the nurse would expect to observe which of the following:
Correct Answer: C
Rationale: This statement describes a normal assessment finding of the lower extremities. This assessment finding reflects problems caused by venous insufficiency. Decreased or absent pedal pulses reflect a problem caused by arterial insufficiency. The leg that is experiencing arterial insufficiency would be cool to touch due to the decreased circulation.
Question 2 of 5
A client with thrombocytopenic purpura is being treated with Neumega (oprelvekin). Which of the following indicates a favorable response to the medication?
Correct Answer: A
Rationale: Neumega (oprelvekin) stimulates platelet production. A platelet count of 150 000/cu.mm indicates a favorable response as it is within the normal range (150 000-450 000/cu.mm). The other options reflect white blood cell or red blood cell indices not platelet counts.
Question 3 of 5
The nurse is caring for a client with a history of a mastectomy who is receiving chemotherapy. The nurse should monitor the client for:
Correct Answer: A
Rationale: Chemotherapy commonly causes nausea and vomiting, requiring monitoring and antiemetic therapy. Hypertension, weight gain, and fever are less immediate concerns.
Question 4 of 5
The nurse is assessing the abdomen. The nurse knows the best sequence to perform the assessment is:
Correct Answer: A
Rationale: Abdominal assessment follows the sequence: inspection, auscultation, palpation. Auscultation is done before palpation to avoid altering bowel sounds. Inspection identifies visible abnormalities first.
Question 5 of 5
A nurse is caring for a client with a myocardial infarction. The nurse recognizes that the most common complication in the client following a myocardial infarction is:
Correct Answer: B
Rationale: Cardiac dysrhythmias are the most common complication post-MI due to ischemic damage to the conduction system. Hypertrophy develops later, and hyperkalemia is less common.