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NCLEX RN Practice Exam Questions

Extract:


Question 1 of 5

For which of the following reasons would the nurse use the Braden Scale to assess a client?

Correct Answer: B

Rationale: The Braden Scale assesses risk for pressure sores (
B) by evaluating factors like mobility and skin moisture. It is not used for delirium (
A), falls (
C), or substance abuse (
D).

Question 2 of 5

An older man is seen in the outpatient clinic for treatment of an acute attack of gout. Which of the following nursing interventions would be MOST beneficial in decreasing the client’s pain during ambulation?

Correct Answer: B

Rationale: would relieve weight, pressure, and stress on affected leg, may use walker

Question 3 of 5

The nurse is teaching a group of new graduates about the safety needs of the client receiving chemotherapy. Before administering chemotherapy, the nurse should:

Correct Answer: C

Rationale: Administering an antiemetic before chemotherapy prevents nausea and vomiting, common side effects of these drugs.

Question 4 of 5

A 4-year-old is scheduled for a routine tonsillectomy. Which of the following lab findings should be reported to the doctor?

Correct Answer: C

Rationale: A white blood cell count of 16,000 suggests infection or inflammation, which should be reported before surgery.

Question 5 of 5

The nurse is caring for a client with leukemia who has received the drug (daunorubicin) Cerubidine. Which of the following common side effects would cause the most concern?

Correct Answer: C

Rationale: Daunorubicin is known for cardiotoxicity, which can lead to heart failure and is life-threatening, making it the most concerning side effect. Nausea, vomiting, and alopecia are common but less severe.

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The nurse is caring for a client admitted with suspected myasthenia gravis. Which finding is usually associated with a diagnosis of myasthenia gravis?
A 72-year-old client with Parkinson disease is recovering from pneumonia and is to be discharged, but he remains weak and has poor control of his hands because of tremors. A home health aide will visit three times weekly to assist the client to bathe, and his daughter will visit every evening after work to help with laundry and housework. Which of the following referrals is most indicated to allow the client to remain independent in his home?
The client returns to the recovery room following repair of an abdominal aneurysm. Which finding would require further investigation?

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