NCLEX-RN
NCLEX RN Question Bank Free Questions
Extract:
Question 1 of 5
The nurse is caring for a client with bipolar disorder in a manic phase. Which intervention is most appropriate?
Correct Answer: B
Rationale: A quiet environment reduces stimuli, helping to calm a client in a manic phase.
Question 2 of 5
Which of the following baseline laboratory data should be established before a client is started on tissue plasminogen activator or alteplase recombinant (Activase)?
Correct Answer: C
Rationale: These tests assess bleeding risk, critical before administering thrombolytics like alteplase, which can cause hemorrhage.
Question 3 of 5
Assessment of a nulligravid client in active labor reveals the following: complaints of moderate discomfort; cervix dilated $3 \mathrm{~cm}, 0$ station and completely effaced; fetal heart rate of $136 \mathrm{bpm}$. Which of the following should the nurse plan to do next?
Correct Answer: A
Rationale: Moderate discomfort in early labor is managed with non-pharmacologic comfort measures and breathing techniques to promote coping.
Question 4 of 5
The nurse is caring for a client with a venous leg ulcer. Which of the following interventions should be included in the plan of care?
Correct Answer: A
Rationale: Compression bandages promote venous return and healing in venous leg ulcers.
Question 5 of 5
The physician is calling in an order for ampicillin for a neonate. The nurse should do which of the following? Select all that apply.
Correct Answer: A,C,D
Rationale: Writing the order, repeating it back, and confirming with the physician ensure accuracy and safety for a telephone order.