NCLEX-RN
NCLEX RN Practice Questions
Extract:
Question 1 of 5
Following a lumbar puncture, a client develops a severe headache that persists 24 hours and is unrelieved by bedrest or oral fluids. Which of the following interventions does the nurse anticipate?
Correct Answer: C
Rationale: A persistent post-lumbar puncture headache suggests CSF leak, treated with an epidural blood patch (
C). Prolonged bedrest (
A), opioids (
B), or IV fluids (
D) are less effective.
Question 2 of 5
A client with chronic pain is being treated with opioid administration via epidural route. Which medication would it be most important to have available due to a possible complication of this pain relief procedure?
Correct Answer: B
Rationale: Epidural opioids can cause respiratory depression, a life-threatening complication. Naloxone (Narcan) is an opioid antagonist that reverses this effect, making it critical to have available. The other medications address pain, allergies, or nausea, not opioid-related complications.
Question 3 of 5
A client with hepatitis C who has cirrhosis changes has just returned from a liver biopsy. The nurse will place the client in which position?
Correct Answer: C
Rationale: Right side-lying position applies pressure to the liver biopsy site, reducing the risk of bleeding or bile leakage post-procedure.
Question 4 of 5
A client admitted for treatment of bacterial pneumonia has an order for intravenous ampicillin. Which specimen should be obtained prior to administering the medication?
Correct Answer: D
Rationale: A sputum culture and sensitivity should be obtained before starting antibiotics to identify the causative organism and ensure appropriate treatment.
Question 5 of 5
The nurse is preparing a five-year-old child for surgery. The nurse notes that the child’s parents are divorced and have joint legal custody. The informed consent for surgery has been signed by the mother. Which of the following actions by the nurse is BEST?
Correct Answer: D
Rationale: parent or legal guardian required to give informed consent prior to surgical procedure