NCLEX-RN
NCLEX RN Practice Tests Questions
Extract:
Question 1 of 5
The nurse is caring for a client with a long history of taking magnesium hydroxide for managing symptoms of peptic ulcer disease. Which finding in the client's medical history would be of concern to the nurse?
Correct Answer: C
Rationale: Magnesium hydroxide can cause fluid retention, worsening heart failure. Other conditions are not directly affected.
Question 2 of 5
A client with cancer received platelet infusions 24 hours ago. Which of the following assessment findings would indicate the most therapeutic effect from the transfusions?
Correct Answer: D
Rationale: Platelet infusions aim to improve clotting. Decreased oozing from an IV site indicates effective platelet function. The other findings are unrelated to platelets.
Question 3 of 5
A nurse is preparing to mix and administer chemotherapy. What equipment would be unnecessary to obtain?
Correct Answer: C
Rationale: Chemotherapy requires protective equipment (gloves, gown, Luer lok tubing to prevent leaks), but a surgical hat cover is unnecessary unless in a sterile field, which isn't typical for chemo administration.
Question 4 of 5
The nurse is caring for an elderly client who presents to the ED with poor appetite, confusion, and weakness. Lab work is ordered for the client. The nurse should immediately notify the health care provider for which lab result?
Correct Answer: C
Rationale: Severe hyponatremia (sodium 118 mEq/L) can cause confusion and weakness and requires immediate provider notification. Other values are within normal ranges.
Question 5 of 5
The nurse recognizes all of the following as type IV hypersensitivity reactions EXCEPT
Correct Answer: D
Rationale: Type IV hypersensitivity is cell-mediated (e.g., contact dermatitis, Crohn’s, GVH
D). Penicillin allergy is typically type I (IgE-mediated).