NCLEX-RN
NCLEX RN Test Bank Questions PDF Questions
Extract:
Question 1 of 5
The nurse is assessing a client with a suspected cholecystitis. Which of the following findings is most indicative of this condition?
Correct Answer: A
Rationale: Right upper quadrant pain is a hallmark sign of cholecystitis due to gallbladder inflammation.
Question 2 of 5
The staff nurse is reviewing how to manage the last 2 hours of the night shift on an antepartal unit and has the following orders and tasks to complete prior to 7 a.m. The nurse should complete the tasks in which order?
Order the Items
Source Container
Correct Answer: D,G,F,A
Rationale:
To manage time effectively: Check documentation and final client checks at 6:30 to ensure all records are complete (
A); perform the fetal monitor strip from 6:00 to 6:30 to meet the half-hour requirement (F); draw magnesium sulfate at 6:00 to align with the ordered time (G); perform Accucheck and insulin at 7:00 as per the schedule (
D).
Question 3 of 5
The nurse is assessing a client with a suspected stroke. Which of the following findings is most indicative of a stroke?
Correct Answer: A
Rationale: Sudden unilateral weakness is a classic sign of stroke due to impaired blood flow to one side of the brain.
Question 4 of 5
A medication nurse is supervising a newly hired nurse who is administering pyridostigmine orally to a client diagnosed with myasthenia gravis. Which instruction provided to the client indicates safe practice by the newly hired nurse regarding the administration of this medication?
Correct Answer: A
Rationale: Myasthenia gravis can affect the client's ability to swallow. The primary assessment is to determine the client's ability to swallow. In this situation, there is no reason for the client to lie down to swallow medication or hyperextend the neck. Additionally, lying down could place the client at risk for aspiration. There is no specific reason for the client to void before taking the medication.
Question 5 of 5
The nurse is assessing a client with suspected appendicitis. Which of the following findings would support this diagnosis?
Correct Answer: A, B
Rationale: Pain at McBurney's point and decreased bowel sounds are classic signs of appendicitis due to peritoneal irritation and intestinal obstruction.