NCLEX-RN
Free NCLEX RN Practice Questions Questions
Extract:
Question 1 of 5
Lochia serosa usually is evident on days 4 to 10 postpartum. When teaching the client about postpartum care, how should the nurse describe lochia serosa?
Correct Answer: C
Rationale: Lochia serosa, days 4-10 postpartum, is pinkish to brownish (
C) due to decreased blood and increased serous fluid. Dark red (
A) is lochia rubra, yellowish (
B) or clear (
D) are not typical.
Question 2 of 5
What is the responsibility of the nurse in obtaining an informed consent for surgery?
Correct Answer: D
Rationale: The nurse's role is to witness the client's signature and ensure the consent form is completed, not to explain the procedure.
Question 3 of 5
The nurse is preparing to administer a dose of amoxicillin (Amoxil) to a client with a urinary tract infection. The client reports a history of penicillin allergy. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: clarifying the type of allergic reaction is essential, as amoxicillin is a penicillin derivative and could cause a severe reaction
Question 4 of 5
The nurse is caring for a 70-year-old client with hypovolemia who is receiving a blood transfusion. Assessment findings reveal crackles on chest auscultation and distended neck veins. What is the nurse's initial action?
Correct Answer: A
Rationale: Crackles and distended neck veins suggest fluid overload from the transfusion. Slowing the transfusion reduces further overload while maintaining access. Stopping it entirely or documenting only delays intervention.
Question 5 of 5
The nurse is caring for a cognitively impaired client who begins to pull at the tape securing his IV site. To prevent the client from removing the IV, the nurse should:
Correct Answer: A
Rationale: Securing the IV with tape out of the client's vision minimizes tampering while avoiding restraints or inappropriate actions.