NCLEX-RN
NCLEX RN Practice Questions
Extract:
Question 1 of 5
The nurse is caring for a client who is receiving chemotherapy for leukemia. The client’s latest laboratory results show a white blood cell count of 2,000/mm³. Which of the following nursing actions is the HIGHEST priority?
Correct Answer: C
Rationale: a white blood cell count of 2,000/mm³ indicates neutropenia, and initiating neutropenic precautions is the priority to prevent infection
Question 2 of 5
An obstetrical client calls the clinic with complaints of morning sickness. The nurse should tell the client to:
Correct Answer: A
Rationale: Eating crackers before getting out of bed stabilizes stomach acid and blood sugar, reducing morning sickness.
Question 3 of 5
The wife of a client with colorectal cancer (CRC) is talking to the nurse about prevention and screening of the disease. Which statement should the nurse make to the wife?
Correct Answer: A
Rationale: A low-fat, high-fiber diet with fruits reduces CRC risk. Screening begins at 45 for average risk, with colonoscopy every 10 years or fecal occult blood test annually.
Question 4 of 5
A client admitted for treatment of bacterial pneumonia has an order for intravenous ampicillin. Which specimen should be obtained prior to administering the medication?
Correct Answer: D
Rationale: A sputum culture and sensitivity should be obtained before starting antibiotics to identify the causative organism and ensure appropriate treatment.
Question 5 of 5
The physician has ordered lab work for a client with suspected disseminated intravascular coagulation (DIC). Which lab finding would provide a definitive diagnosis of DIC?
Correct Answer: C
Rationale: Fibrin split products (FSPs) are specific to DIC, indicating widespread clotting and fibrinolysis, confirming the diagnosis.