NCLEX-RN
NCLEX RN Practice Questions
Extract:
Question 1 of 5
The nurse is caring for a client with chronic kidney failure who is receiving Epoetin alfa. The nurse understands which statement to be true regarding this medication?
Correct Answer: D
Rationale: Epoetin alfa stimulates red blood cell production and is typically given weekly via IM or subcutaneous routes. Other options misrepresent its effects or side effects.
Question 2 of 5
The nurse is instructing a client who has had an eye removed in the proper procedure for inserting a prosthetic eye. Place the following steps of prosthetic-eye insertion (in Roman numerals) in the correct sequence from the first to the last.
Order the Items
Source Container
Correct Answer: F,D,A,B,C,E
Rationale: The correct sequence for inserting a prosthetic eye is: Cleanse the prosthetic eye (VI), identify landmarks (IV), raise the upper eyelid (I), pull the lower eyelid down (II), slide the prosthesis under the upper eyelid (III), and check positioning (V). This ensures proper hygiene and alignment.
Question 3 of 5
The nurse is working in the trauma unit of the emergency room when a 24-year-old female is admitted after an MVA. The client is bleeding profusely and a blood transfusion is ordered. Which would the nurse be prepared to administer without a type and crossmatch?
Correct Answer: D
Rationale: O negative blood is the universal donor type, safe for transfusion without type and crossmatch in emergencies, as it lacks antigens that could cause reactions.
Question 4 of 5
The orthopedic nurse should be particularly alert for a fat embolus in which of the following clients having the greatest risk for this complication after a fracture?
Correct Answer: C
Rationale: Fat embolism is most common in long bone fractures, especially the femur, and in young adults. A 21-year-old with a femur fracture is at highest risk.
Question 5 of 5
Twenty-four hours after an uncomplicated labor and delivery, a client's WBC is 12,000 cu/mm. The elevation in the client's WBC is most likely an indication of:
Correct Answer: A
Rationale: A WBC of 12,000 cu/mm post-delivery is a normal physiological response to the stress of labor and delivery.