NCLEX-RN
NCLEX RN Practice Questions
Extract:
Question 1 of 5
The nurse is caring for a client who lives below the poverty level. While providing discharge teaching, the nurse notes that the client has received a prescription for warfarin (Coumadin) and will need to return to the clinic for regular lab work. Which of the following is most appropriate for the nurse to ask the client?
Correct Answer: C
Rationale: Assessing transportation ensures the client can access lab monitoring for warfarin, critical for safe therapy in a low-income context.
Question 2 of 5
The nurse is preparing to administer an injection of haloperidol decanoate (Haldol D). Which of the following actions by the nurse is MOST appropriate?
Correct Answer: B
Rationale: medication is very irritating to subcutaneous tissue
Question 3 of 5
A public health nurse works with a specific population. Many of the clients use herbal remedies at home. The nurse would express concern if which of the following clients reported using herbal remedies?
Correct Answer: E
Rationale: Herbal remedies may pose risks in children (
A) due to dosing concerns, but none of the conditions listed raise specific red flags. The question may lack context for a definitive answer.
Question 4 of 5
The nurse is preparing to administer blood to a client with anemia. Which signs and symptoms of transfusion reaction should the nurse monitor for during the first 30 minutes? Select all that apply.
Correct Answer: B, D, E
Rationale: Sudden hypertension, restlessness, confusion, jugular vein distension, low back pain, and impending doom indicate possible transfusion reactions (e.g., hemolytic or circulatory overload). Normal respiratory rate and oxygen saturation are not concerning.
Question 5 of 5
The nurse caring for a client with myasthenia gravis recognizes which of the following as the priority nursing diagnosis?
Correct Answer: C
Rationale: Myasthenia gravis causes muscle weakness, including respiratory muscles, making ineffective airway clearance the priority due to risk of respiratory failure.