NCLEX-RN
Free NCLEX RN Practice Test Questions
Extract:
Question 1 of 5
The client is admitted to the hospital with hypertensive crises. Diazoxide (Hyperstat) is ordered. During administration, the nurse should:
Correct Answer: B
Rationale: Diazoxide can cause hyperglycemia, so monitoring blood glucose levels is essential during administration.
Question 2 of 5
The Joint Commission for Accreditation of Hospital Organizations (JCAHO) specifies that two client identifiers are to be used before administering medication. Which method is best for identifying patients using two patient identifiers?
Correct Answer: A
Rationale: Comparing the MAR with the client's armband name and medical number ensures accurate identification using two reliable identifiers.
Question 3 of 5
The nurse is caring for a postpartum client 2 hours post-delivery who is unable to void. Which of the following nursing interventions should be considered initially?
Correct Answer: D
Rationale: Palpating the bladder assesses for distention, which may indicate urinary retention, guiding further interventions without immediately resorting to invasive measures.
Question 4 of 5
Following femoral catheterization for percutaneous coronary intervention (PCI), the client has increasing pain in the catheterization site, and the nurse notes visible edema and induration surrounding the site. The nurse suspects a hematoma and notifies the physician. Which of the following interventions does the nurse anticipate? Select all that apply.
Correct Answer: A,B,C,D
Rationale: Hematoma management includes applying pressure (
A), marking edema (
B), monitoring hemoglobin/hematocrit (
C), and maintaining bedrest (
D). Clotting factors (E) are not typically needed.
Question 5 of 5
The nurse is suspected of charting medication administration that he did not give. The nurse can be charged with:
Correct Answer: A
Rationale: Falsifying medical records, such as charting unadministered medications, constitutes fraud.