NCLEX-RN
NCLEX RN Practice Questions Questions
Extract:
Question 1 of 5
An elderly client with glaucoma is scheduled for a cholecystectomy. Which medication order should the nurse question?
Correct Answer: C
Rationale: Atropine is contraindicated in glaucoma as it can increase intraocular pressure, worsening the condition.
Question 2 of 5
A nurse starts an IV medication for a client. It is ordered as IV push, and she pushes the medication slowly over two minutes. The client then becomes restless, complains of chest pain, has difficulty breathing, and becomes cyanotic. The nurse recognizes this is most likely caused by
Correct Answer: D
Rationale: Rapid onset of chest pain, dyspnea, cyanosis, and restlessness after IV push suggests pulmonary embolism, likely from air or thrombus introduced during administration.
Question 3 of 5
The nurse has just received the shift report and is preparing to make rounds. Which client should be seen first?
Correct Answer: C
Rationale: The client with shortness of breath is at highest risk for respiratory distress and requires immediate assessment.
Question 4 of 5
The nurse is preparing to test a client who has the herpes virus. Which of the following tests should the nurse perform?
Correct Answer: C
Rationale: The Tzanck test is used to diagnose herpes virus infections by examining cells from a lesion for characteristic changes.
Question 5 of 5
The nurse has taken the blood pressure of a client hospitalized with methicillin-resistant staphylococcus aureus (MRSA). Which action by the nurse indicates an understanding regarding the care of clients with MRSA?
Correct Answer: A
Rationale: Leaving the stethoscope in the room prevents MRSA transmission, as it avoids contaminating other areas or clients.