NCLEX-RN
Free NCLEX RN Practice Test Questions
Extract:
Question 1 of 5
The nurse caring for a client diagnosed with metastatic cancer of the bone is exhibiting mental confusion and a BP of 150/100. Which laboratory value would correlate with the client's symptoms reflecting a common complication with this diagnosis?
Correct Answer: B
Rationale: Bone metastasis often causes hypercalcemia (calcium 13 mg/dL is elevated), leading to confusion and hypertension. The other values are normal or unrelated.
Question 2 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 3 of 5
The schizophrenic client has become disruptive and requires seclusion. Which staff member can institute seclusion?
Correct Answer: B
Rationale: An RN has the authority to initiate seclusion based on clinical judgment.
Question 4 of 5
The nurse is completing admission on a client with possible esophageal cancer. Which finding would not be common for this diagnosis?
Correct Answer: C
Rationale: Esophageal cancer commonly presents with dysphagia, foul breath (due to tumor necrosis), and chronic hiccups (from diaphragmatic irritation). Diarrhea is not typically associated with esophageal cancer.
Question 5 of 5
The nurse is assessing a client who is 36 hours postpartum. Which of the following findings would indicate a need for further evaluation?
Correct Answer: D
Rationale: a temperature of 100.4°F may indicate infection, such as endometritis, and requires further evaluation