NCLEX-RN
NCLEX RN Practice Questions
Extract:
Question 1 of 5
An older client says that she frequently experiences stress incontinence and may have to stop playing golf because swinging the golf club often results in small amounts of urinary incontinence. Which of the following suggestions may be most effective?
Correct Answer: B
Rationale: The 'knack' (
B), contracting pelvic floor muscles before swinging, can prevent stress incontinence. Deep breathing (
A) is ineffective, pads (
C) manage but don't prevent, and urinating beforehand (
D) is less effective.
Question 2 of 5
A client with rheumatoid arthritis is receiving injections of Myochrysine (gold sodium thiomalate). Before administering the client's medication, the nurse should:
Correct Answer: A
Rationale: Checking lab work is essential to monitor for toxicity, such as renal or hematologic effects, from gold therapy.
Question 3 of 5
A client has orders for ampicillin 350 mg IM daily. The directions state to reconstitute with 3.5 mL of sterile water for a concentration of 500 mg/mL. How much will the nurse give?
Correct Answer: 0.7 mL
Rationale: Concentration: 500 mg/mL. Dose: 350 mg. Volume = 350 mg ÷ 500 mg/mL = 0.7 mL.
Question 4 of 5
The nurse caring for a client with myasthenia gravis recognizes which of the following as the priority nursing diagnosis?
Correct Answer: C
Rationale: Myasthenia gravis causes muscle weakness, including respiratory muscles, making ineffective airway clearance the priority due to risk of respiratory failure.
Question 5 of 5
The nurse is caring for a client who lives below the poverty level. While providing discharge teaching, the nurse notes that the client has received a prescription for warfarin (Coumadin) and will need to return to the clinic for regular lab work. Which of the following is most appropriate for the nurse to ask the client?
Correct Answer: C
Rationale: Assessing transportation ensures the client can access lab monitoring for warfarin, critical for safe therapy in a low-income context.