NCLEX-RN
NCLEX RN Practice Test Questions
Extract:
Question 1 of 5
In evaluating the effectiveness of IV Pitocin for a client with secondary dystocia, the nurse should expect:
Correct Answer: D
Rationale: Pitocin is effective if it promotes progressive cervical dilation, correcting secondary dystocia.
Question 2 of 5
The nurse notes the following laboratory test results on a 24-hour postburn client. Which abnormality should be reported to the physician immediately?
Correct Answer: A
Rationale: Hyperkalemia (7.5 mEq/L) is life-threatening, risking cardiac arrhythmias, and requires immediate reporting for urgent correction.
Question 3 of 5
Following application of a right BK prosthesis for an amputated limb, the client returns for evaluation, and the nurse notes that the client has an unstable gait and the right hip and knee are showing signs of slight flexion contractures. The client admits to infrequent use of the prosthesis. Which of the following interventions are most indicated? Select all that apply.
Correct Answer: A,B,D
Rationale: Sympathetic encouragement (
A), retraining (
B), and counseling (
D) address infrequent use and contractures constructively. Chastising (
C) is non-therapeutic and demotivating.
Question 4 of 5
Where is the best site for examining for the presence of petechiae in an African American client?
Correct Answer: C
Rationale: The earlobes are a reliable site to assess petechiae in dark-skinned individuals, as they are less pigmented and allow easier visualization of small hemorrhages.
Question 5 of 5
The nurse understands that the diagnosis of oral cancer is confirmed with:
Correct Answer: A
Rationale: A biopsy provides definitive histological evidence of oral cancer, confirming the diagnosis.