NCLEX-RN
NCLEX RN Practice Test Questions
Extract:
Question 1 of 5
The nurse is caring for a client with a history of liver cirrhosis who is admitted with ascites. Which of the following interventions should the nurse implement?
Correct Answer: B
Rationale: furosemide is a diuretic used to reduce ascites in liver cirrhosis
Question 2 of 5
A 22-year-old female primigravida who is at 36 weeks' gestation is seen in the ED with a low platelet count, ALT of 68 U/L, AST of 55 U/L, and a continuous, severe headache that has lasted three days. The nurse prepares for what to occur?
Correct Answer: C
Rationale: The symptoms suggest HELLP syndrome (hemolysis, elevated liver enzymes, low platelets), a medical emergency requiring prompt delivery of the baby.
Question 3 of 5
A client with pelvic skin traction for low back pain is at risk of which of the following problems associated with decreased mobility? Select all that apply.
Correct Answer: A,B,C
Rationale: Decreased mobility from traction increases risks of orthostatic hypotension (
A), muscle weakness (
B), and venous stasis (
C). Dysuria (
D) and confusion (E) are less directly related.
Question 4 of 5
A client has signs of increased intracranial pressure. Which one of the following is an early indicator of deterioration in the client's condition?
Correct Answer: D
Rationale: A decrease in level of consciousness is an early and sensitive indicator of increased intracranial pressure, reflecting cerebral compromise before other signs like pupil changes or vital sign alterations.
Question 5 of 5
The nurse is assessing a client who has a sacral pressure ulcer. The wound has partial thickness, loss of dermis, and a red-pink wound bed. No slough is present. How would the nurse chart this wound?
Correct Answer: B
Rationale: A partial-thickness ulcer with loss of dermis and a red-pink bed is Stage II. Stage I is non-blanchable redness, Stage III involves full-thickness loss, and Stage IV exposes muscle or bone.