NCLEX-RN
Practice NCLEX RN Test Questions
Extract:
Question 1 of 5
The client is receiving peritoneal dialysis. If the dialysate returns cloudy, the nurse should:
Correct Answer: B
Rationale: Cloudy dialysate suggests peritonitis, requiring lab analysis.
Question 2 of 5
Which statement by the client regarding sickle cell disease indicates a need for further teaching?
Correct Answer: B
Rationale: Alcohol, including red wine, can cause dehydration and increase the risk of sickle cell crisis, so it should be avoided. Other statements are correct.
Question 3 of 5
The nurse is preparing to administer a dose of warfarin (Coumadin) to a client. The client’s international normalized ratio (INR) is 4.5. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: an INR of 4.5 is above the therapeutic range (2.0–3.0), indicating a risk of bleeding; the dose should be withheld and the physician notified
Question 4 of 5
Which assessment finding in a client with COPD indicates to the nurse that the respiratory problem is chronic?
Correct Answer: C
Rationale: Clubbing of fingers is a sign of chronic hypoxia, indicative of long-standing COPD, unlike wheezing or cough, which can occur in acute or chronic stages.
Question 5 of 5
The physician has prescribed Cobex (cyanocobalamin) for a client following a gastric resection. Which lab result indicates that the medication is having its intended effect?
Correct Answer: B
Rationale: Cyanocobalamin (vitamin B12) treats pernicious anemia post-gastric resection; a hemoglobin of 14.2 g indicates effective correction of anemia.