NCLEX-RN
Free NCLEX RN Exam Questions
Extract:
Question 1 of 5
An elective saline abortion has been performed on a 3-week primigravida. Following the procedure, the nurse should be alert for which early side effect?
Correct Answer: B
Rationale: Saline absorption into the bloodstream increases serum sodium, leading to thirst as an early side effect.
Question 2 of 5
A client who has gout is most likely to form which type of renal calculi?
Correct Answer: C
Rationale: The presence of urinary tract infection is a factor in the formation of struvite stones. Staghorn calculi is the other name for struvite stones associated with urinary tract infection. Clients who have gout form uric acid stones. Clients who have increased urinary excretion of calcium form calcium stones.
Question 3 of 5
The client is prescribed methotrexate for rheumatoid arthritis. Which instruction should the nurse include?
Correct Answer: B
Rationale: Methotrexate causes immunosuppression, increasing infection risk, so reporting signs of infection is critical. Milk does not prevent GI upset, photosensitivity is not a primary concern, and methotrexate is taken regularly, not as needed.
Question 4 of 5
Which of the following blood gas parameters primarily reflects respiratory function?
Correct Answer: A
Rationale: The lungs are responsible for regulation of CO2, and this parameter primarily reflects respiratory function.
Question 5 of 5
The client is prescribed levothyroxine (Synthroid) for hypothyroidism. Which instruction should the nurse include?
Correct Answer: B
Rationale: Levothyroxine can cause cardiac side effects like palpitations or chest pain, which should be reported. It is taken in the morning, fiber is not directly related, and food reduces absorption.