NCLEX-RN
NCLEX RN Practice Questions Questions
Extract:
Question 1 of 5
The nurse is assisting in the care of a client with diverticulosis. Which of the following assessment findings must necessitate an immediate report to the doctor?
Correct Answer: D
Rationale: Low hemoglobin (26%) and hematocrit (32) suggest significant bleeding, requiring immediate reporting for further evaluation.
Question 2 of 5
The mother of a 1-year-old with sickle cell anemia wants to know why the condition didn't show up in the nursery. The nurse's response is based on the knowledge that:
Correct Answer: D
Rationale: Fetal hemoglobin, present in newborns, inhibits sickling, masking sickle cell anemia symptoms until fetal hemoglobin decreases after several months.
Question 3 of 5
At the 6-week check-up, the mother asks when she can expect the baby to sleep all night. The nurse should tell the mother that most infants begin to sleep all night by age:
Correct Answer: C
Rationale: Most infants begin to sleep through the night by 3-4 months as their sleep patterns mature.
Question 4 of 5
A client is scheduled for hemodialysis twice weekly through an arteriovenous fistula in the left arm. Following each hemodialysis treatment, the nurse should evaluate the client for which of the following because of risks associated with hemodialysis? Select all that apply.
Correct Answer: A,C
Rationale: Hemodialysis risks include fluid volume deficit (
A) from rapid fluid removal and bleeding (
C) from the fistula site. Fluid excess (
B) and pulmonary edema (E) are pre-dialysis risks, and acidosis (
D) is corrected by dialysis.
Question 5 of 5
A client has been diagnosed with Parkinson disease and has been prescribed levodopa. Which of the following are contraindications to levodopa? Select all that apply.
Correct Answer: A,D
Rationale: Levodopa is contraindicated in narrow-angle glaucoma (
A) due to pupil dilation and melanoma (
D) due to potential tumor activation. Macular degeneration (
B), pregnancy (
C), and cataracts (E) are not contraindications.