NCLEX-RN
NCLEX RN Exam Questions Questions
Extract:
Question 1 of 5
The nurse is caring for a client with cancer of the pancreas. Which finding indicates involvement of the bile ducts?
Correct Answer: A
Rationale: Pancreatic cancer can obstruct bile ducts causing bilirubin buildup and dark urine (bilirubinuria). Petechiae indicate bleeding dark stools suggest GI bleeding and steatorrhea reflects fat malabsorption not bile duct involvement.
Question 2 of 5
The nurse is preparing to administer a dose of lorazepam (Ativan) for anxiety. Which assessment is most important before administration?
Correct Answer: B
Rationale: Lorazepam, a benzodiazepine, can cause respiratory depression, so assessing respiratory rate is critical before administration. Other vital signs are monitored but are less specific.
Question 3 of 5
The nurse is caring for a client with a recent stroke. Which position is most appropriate for this client?
Correct Answer: C
Rationale: Side-lying with the head elevated 30 degrees reduces intracranial pressure and promotes venous drainage in stroke clients, minimizing complications like cerebral edema. Supine, prone, or sitting positions may increase pressure or risk aspiration.
Question 4 of 5
Plans for the care of a client with an ulcer caused by emotional problems need to take into consideration that:
Correct Answer: C
Rationale: The bleeding ulcer can be life-threatening, emphasizing the need to address the physical threat posed by the psychophysiological disorder.
Question 5 of 5
The client's membranes rupture during labor. The fetal heart rate suddenly drops to 90 bpm. The nurse's first action should be to:
Correct Answer: B
Rationale: A sudden drop in fetal heart rate to 90 bpm after membrane rupture suggests possible umbilical cord prolapse or compression. Turning the client to her left side improves placental perfusion and may relieve cord compression. Oxygen and notifying the physician are secondary and increasing IV fluid is less urgent.