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
A 25-year-old client with a goiter is admitted to the unit. What would the nurse expect the admitting assessment to reveal?
Correct Answer: C
Rationale: A goiter associated with hyperthyroidism may cause exophthalmos (bulging eyes) due to increased thyroid hormone levels.
Question 3 of 5
Which of the following nursing interventions has the highest priority for the client scheduled for an intravenous pyelogram?
Correct Answer: B
Rationale: Asking about shellfish allergies is critical, as iodine-based contrast used in IVP can cause severe allergic reactions in those with shellfish or iodine allergies.
Question 4 of 5
An older client says that she frequently experiences stress incontinence and may have to stop playing golf because swinging the golf club often results in small amounts of urinary incontinence. Which of the following suggestions may be most effective?
Correct Answer: B
Rationale: The 'knack' (
B), contracting pelvic floor muscles before swinging, can prevent stress incontinence. Deep breathing (
A) is ineffective, pads (
C) manage but don't prevent, and urinating beforehand (
D) is less effective.
Question 5 of 5
The nurse is admitting a new client to the medical unit. When asked about advance directives, the client says, 'I'm not really sure what that is, but I trust my doctor to do whatever he thinks I need.' Which is the correct action by the nurse?
Correct Answer: C
Rationale: Educating the client about advance directives empowers informed decision-making and respects autonomy.