NCLEX-RN
NCLEX-RN Exam Practice Questions
Extract:
Question 1 of 5
The nurse is assessing a client with suspected pulmonary edema. Which finding is most expected?
Correct Answer: A
Rationale: Crackles in the lung bases indicate fluid accumulation in pulmonary edema. Tachycardia, productive cough, and hypertension are more common than bradycardia, dry cough, or hypotension.
Question 2 of 5
A client has an order to administer cisplatin (Platinol). Which drug would the nurse expect to be ordered to reduce renal toxicity from the cisplatin infusion?
Correct Answer: A
Rationale: Amifostine protects kidneys from cisplatin’s nephrotoxicity by neutralizing free radicals. Dexrazoxane (
B) protects the heart, Mesna (
C) prevents bladder toxicity, and Pamidronate (
D) treats hypercalcemia.
Question 3 of 5
A pregnant client comes to the office for her first prenatal examination at 10 weeks. She has been pregnant twice before; the first delivery produced a viable baby girl at 39 weeks 3 years ago; the second pregnancy produced a viable baby boy at 36 weeks 2 years ago. Both children are living and well. Using the GTPAL system to record her obstetrical history, the nurse should record:
Correct Answer: C
Rationale: G=3 (current pregnancy), T=1 (term birth), P=1 (preterm birth), A=0 (no abortions), L=2 (living children).
Question 4 of 5
The client is prescribed tamsulosin (Flomax) for benign prostatic hyperplasia. Which side effect should the nurse monitor for?
Correct Answer: B
Rationale: Tamsulosin, an alpha-blocker, causes vasodilation, leading to orthostatic hypotension as a common side effect. Hypotension (not hypertension), bradycardia, and hyperglycemia are less likely.
Question 5 of 5
The nurse is caring for a client with a history of chronic kidney disease. The nurse should expect the client to have:
Correct Answer: A
Rationale: Chronic kidney disease reduces erythropoietin production, causing anemia, a common complication.