NCLEX-RN
NCLEX RN Practice Test Questions
Extract:
Question 1 of 5
The nurse is administering afternoon medications, which include an antihypertensive med and aspirin for pain relief. Which of the following should the nurse do first before administering the medications?
Correct Answer: A
Rationale: Verifying the client’s identity using two identifiers (name and date of birth on wristband) ensures medication safety per protocol.
Question 2 of 5
A client with an inguinal hernia asks the nurse why he should have surgery when he has had a hernia for years. The nurse understands that surgery is recommended to:
Correct Answer: A
Rationale: Surgery is recommended for an inguinal hernia to prevent strangulation, which can lead to bowel obstruction and tissue necrosis.
Question 3 of 5
The physician orders the removal of an in-dwelling catheter the second postoperative day for a client with a prostatectomy. The client complains of pain and dribbling of urine the first time he voids. The nurse should tell the client that:
Correct Answer: D
Rationale: Pain and dribbling post-catheter removal are common due to bladder irritation and will typically improve within days.
Question 4 of 5
Which statement by the parent of a child with sickle cell anemia indicates an understanding of the disease?
Correct Answer: C
Rationale: Extra fluids in summer prevent dehydration, which can trigger sickle cell crises, indicating parental understanding of disease management.
Question 5 of 5
A new nurse has just completed orientation and is working on the medical unit. The new nurse is shadowing the charge nurse as they both care for a client with a potassium level of 6.3 mEq/L. Which action by the new nurse requires intervention by the charge nurse?
Correct Answer: A
Rationale: Spironolactone is a potassium-sparing diuretic and could worsen hyperkalemia (potassium 6.3 mEq/L). The other actions are appropriate for managing hyperkalemia or general care.