NCLEX-RN
NCLEX RN Practice Questions
Extract:
Question 1 of 5
The nurse is admitting a new client to the medical unit. When asked about advance directives, the client says, 'I'm not really sure what that is, but I trust my doctor to do whatever he thinks I need.' Which is the correct action by the nurse?
Correct Answer: C
Rationale: Educating the client about advance directives empowers informed decision-making and respects autonomy.
Question 2 of 5
A primigravida, age 42, is 6 weeks pregnant. Based on the client's age, her infant is at risk for:
Correct Answer: A
Rationale: Advanced maternal age (over 35) increases the risk of Down syndrome in the fetus.
Question 3 of 5
A 45-year-old female comes into the clinic for a yearly physical. The nurse calculates her body mass index (BMI) as 32. The nurse would chart this as
Correct Answer: A
Rationale: BMI 30-39.9 is classified as obese. BMI 32 indicates obesity, increasing health risks.
Question 4 of 5
A medication error has occurred, and the client has received double the ordered dosage of magnesium sulfate. The nurse anticipates the physician will order what medication STAT?
Correct Answer: D
Rationale: Magnesium sulfate overdose causes hypermagnesemia, treated with calcium gluconate to counteract toxicity (e.g., respiratory depression, hypotension).
Question 5 of 5
A client with a fractured tibia has a plaster-of-Paris cast applied to immobilize the fracture. Which action by the nurse indicates understanding of a plaster-of-Paris cast? The nurse:
Correct Answer: D
Rationale: Allowing 24 hours for the cast to dry prevents damage and ensures proper immobilization.