NCLEX-RN
NCLEX-RN Exam Practice Questions
Extract:
Question 1 of 5
The nurse is assessing the deep tendon reflexes of a client with preeclampsia. Which method is used to elicit the biceps reflex?
Correct Answer: A
Rationale:
To elicit the biceps reflex the nurse places a thumb on the biceps tendon in the antecubital space and taps it with a reflex hammer. The other methods describe techniques for eliciting different reflexes (e.g. triceps or patellar).
Question 2 of 5
A 25-year-old outpatient presents with a diagnosis of compulsive personality disorder. His coworkers become annoyed with his rigid, perfectionistic manner and preoccupation with trivial details and schedules. A nursing intervention appropriate for this client would include:
Correct Answer: D
Rationale: This answer is incorrect. The client will work hard at the activity instead of enjoying it. This answer is incorrect. The nurse should allow the client to discuss these thoughts, within limits, not to avoid discussing them. This answer is incorrect. The compulsive client tends to control time to excess. It should not be encouraged. This answer is correct. A contract with the client regarding the amount of time that will be spent discussing the compulsive activities is appropriate. Time allotted should be gradually decreased.
Question 3 of 5
The client is scheduled for a cardiac CTA. Prior to the cardiac CTA, the nurse should do which of the following?
Correct Answer: A, B, C
Rationale: Cardiac CTA involves contrast dye, so checking creatinine (
A) assesses kidney function to prevent contrast-induced nephropathy. Shellfish allergies (
B) may indicate iodine sensitivity. Consent (
C) is required for invasive procedures. Hearing issues (
D) and water intake (E) are less critical.
Question 4 of 5
A client in labor has an order for Demerol (meperidine) 75 mg. IM to be administered 10 minutes before delivery. The nurse should:
Correct Answer: B
Rationale: Meperidine given close to delivery can cause neonatal respiratory depression due to its sedative effects crossing the placenta. The nurse should question the timing of the order.
Question 5 of 5
The nurse is caring for a client with a history of Rh sensitization. The physician orders a Kleihauer-Betke test. The purpose of this test is to:
Correct Answer: A
Rationale: The Kleihauer-Betke test quantifies fetal blood in maternal circulation critical in Rh sensitization to determine the dose of RhoGAM needed to prevent maternal antibody formation. It does not assess lung maturity antibodies or amniotic fluid volume.