NCLEX-RN
NCLEX RN Practice Questions Free Questions
Extract:
Question 1 of 5
The nurse is caring for a client with a diagnosis of gestational diabetes. Which laboratory test is most appropriate to monitor?
Correct Answer: C
Rationale: Hemoglobin A1c reflects long-term glucose control and fasting blood glucose monitors daily management in gestational diabetes. Both tests are appropriate to ensure optimal maternal and fetal outcomes.
Question 2 of 5
A client with a history of a tonsillectomy is being discharged. The nurse should teach the client to:
Correct Answer: C
Rationale: Excessive swallowing post-tonsillectomy may indicate bleeding, a serious complication requiring immediate reporting. Gargling, cold liquids, and straws may irritate the surgical site.
Question 3 of 5
The client is diagnosed with multiple myeloma. The doctor has ordered cyclophosphamide (Cytoxan). Which instruction should be given to the client?
Correct Answer: D
Rationale: Cyclophosphamide can cause hemorrhagic cystitis, so adequate hydration (e.g., 8 glasses of water daily) is essential to flush the bladder and reduce this risk. Walking, fiber, and nausea reporting are not primary concerns with this drug.
Question 4 of 5
The nurse is caring for an adolescent with a five-year history of bulimia. A common clinical finding in the client with bulimia is:
Correct Answer: B
Rationale: Frequent vomiting in bulimia exposes teeth to stomach acid, leading to dental caries (tooth decay), a common clinical finding.
Question 5 of 5
The nurse is caring for a client with a brain tumor who has been prescribed levofloxacin (Levaquin) for a sinus infection. What specific instructions should be included when educating the client regarding taking this drug?
Correct Answer: A, B, C
Rationale: Levofloxacin requires avoiding sunlight (
A) due to photosensitivity, reporting joint pain (
B) for tendonitis risk, and avoiding antacids (
C) to ensure absorption. Empty stomach (
D) is optional, and bed elevation (E) is unrelated.