NCLEX-RN
Free NCLEX RN Practice Questions Questions
Extract:
Question 1 of 5
An adolescent client with cystic acne has a prescription for Accutane (isotretinoin). Which lab work is needed before beginning the medication?
Correct Answer: C
Rationale: A liver profile is required before starting isotretinoin due to its potential hepatotoxicity, ensuring safe administration.
Question 2 of 5
A nurse needs to draw a blood sample from a patient's central line. The line is currently infusing Ringer's lactate. In which order should the nurse take the following steps to draw the blood sample? Number the steps below.
Order the Items
Source Container
Correct Answer: B,D,C,A,E
Rationale: Order: Stop infusion (
B), scrub hub (
D), withdraw/discard blood (
C), flush with saline (
A), withdraw lab sample (E). This ensures a clean, accurate sample.
Question 3 of 5
The nurse is caring for a client admitted to ICU following a heart attack. The nurse notes on the chart that the client has named his spouse to make decisions regarding his care if he is unable to speak for himself. What is the name of the document the client has signed? Fill in the blank.
Correct Answer: C
Rationale: The document is a **Durable Power of Attorney for Healthcare** or **Healthcare Proxy**, designating the spouse as the decision-maker.
Question 4 of 5
As serum calcium levels rise, which hormone is excreted?
Correct Answer: E
Rationale: Calcitonin (not listed) is secreted by the thyroid to lower high serum calcium. Parathyroid hormone (
D) increases calcium. None of the options are correct.
Question 5 of 5
The nurse is teaching a client with a new colostomy about dietary management. Which of the following foods should the nurse recommend the client avoid to reduce odor and gas?
Correct Answer: A
Rationale: broccoli is a gas-forming food that can increase odor and gas in a colostomy