NCLEX-RN
Free NCLEX RN Practice Test Questions
Extract:
Question 1 of 5
The best size cathlon for administration of a blood transfusion to a six year old is:
Correct Answer: D
Rationale: A 20-gauge catheter is appropriate for blood transfusion in a six-year-old, balancing flow rate and vessel size.
Question 2 of 5
A client diagnosed with hepatitis B asks the nurse how the virus is transmitted. Which of the following is the correct response?
Correct Answer: B
Rationale: Hepatitis B is transmitted via blood, sexual contact, needles, and perinatally from mother to newborn.
Question 3 of 5
A 57-year-old male with a history of vasculitis has purple discolorations on his legs, each approximately 0.3 cm to 1 cm in size. He asks the nurse what these discolorations are called, and the nurse correctly calls them
Correct Answer: B
Rationale: Purpura are purple discolorations 0.3-1 cm, often seen in vasculitis due to small vessel bleeding. Petechiae are smaller (<0.3 cm), and ecchymosis is larger (>1 cm).
Question 4 of 5
A client has immune thrombocytopenic purpura. The client's platelet count is 19,000. Which initial treatment does the nurse expect?
Correct Answer: B
Rationale: For ITP with a platelet count of 19,000, immunosuppressive therapy (
B), like corticosteroids, is typically initial to increase platelet production. Splenectomy (
A) is later, observation (
C) is risky, and platelets (
D) are less effective.
Question 5 of 5
The client with a cervical fracture is placed in traction. Which type of traction will be utilized at the time of discharge?
Correct Answer: C
Rationale: Halo traction is used for cervical fractures and can be maintained post-discharge for stabilization.