NCLEX-RN
NCLEX RN Practice Test Questions
Extract:
Question 1 of 5
The nurse is caring for a client with a basal cell epithelioma. The primary cause of basal cell epithelioma is:
Correct Answer: A
Rationale: Basal cell epithelioma is primarily caused by prolonged sun exposure.
Question 2 of 5
The nurse is assessing the chart of a client with a stroke. MRI results reveal a hemorrhagic stroke to the brain. Which physician prescription would the nurse question?
Correct Answer: C
Rationale: Heparin is contraindicated in hemorrhagic stroke due to the risk of worsening bleeding, making this prescription inappropriate and requiring clarification.
Question 3 of 5
The nurse is administering afternoon medications, which include an antihypertensive med and aspirin for pain relief. Which of the following should the nurse do first before administering the medications?
Correct Answer: A
Rationale: Verifying the client’s identity using two identifiers (name and date of birth on wristband) ensures medication safety per protocol.
Question 4 of 5
A client with a stroke and malnutrition has been placed on Total Parenteral Nutrition (TPN). The nurse notes air entering the client via the central line. Which initial action is most appropriate?
Correct Answer: C
Rationale: Air embolism requires placing the client in the left lateral decubitus position with the head down to trap air in the right atrium, preventing further embolization. This is the priority action.
Question 5 of 5
The nurse caring for a client with a head injury would recognize which assessment finding as the most indicative of increased ICP?
Correct Answer: D
Rationale: Papilledema (optic disc swelling) is a specific sign of increased ICP due to pressure on the optic nerve. Nausea, headache, and dizziness are less specific.