NCLEX-RN
Best NCLEX RN Question Bank Questions
Extract:
Question 1 of 5
The nurse is assessing a neonate born to a diabetic mother. Which of the following findings should the nurse expect to see in the infant?
Correct Answer: C
Rationale: Neonates born to diabetic mothers are often macrosomic (large size) due to maternal hyperglycemia. Hypertonia, hyperactivity, and scaly skin are not typical findings.
Question 2 of 5
The nurse is administering propranolol (Inderal) to a client for control of migraine headaches. The client's pulse rate is 56 bpm. What should the nurse do next?
Correct Answer: A
Rationale: Propranolol, a beta-blocker, can cause bradycardia. A pulse of 56 bpm is concerning and warrants immediate physician notification to evaluate the need for dose adjustment or intervention.
Question 3 of 5
What are the nursing implications associated with administering blood and blood products to a client who has a blood type of B negative?
Correct Answer: C
Rationale: B negative blood type has anti-A agglutinins (antibodies against A antigen) and lacks the Rh factor, requiring careful matching to avoid transfusion reactions.
Question 4 of 5
The nurse is assessing a client with suspected appendicitis. Which of the following findings supports this diagnosis?
Correct Answer: A
Rationale: Pain at McBurney's point (right lower quadrant) is a hallmark sign of appendicitis due to localized peritoneal irritation.
Question 5 of 5
A client with a history of peptic ulcer disease is prescribed misoprostol (Cytotec). The nurse should instruct the client to:
Correct Answer: A
Rationale: Misoprostol should be taken with meals to reduce gastrointestinal upset and protect the stomach lining.