NCLEX-RN
NCLEX RN Practice Questions Questions
Extract:
Question 1 of 5
The nurse is caring for a client with epilepsy who is being treated with carbamazepine (Tegretol). Which laboratory value might indicate a serious side effect of this drug?
Correct Answer: C
Rationale: Carbamazepine can cause bone marrow suppression, leading to leukopenia. A WBC of 4,000/mm^3 is low, indicating a potential serious side effect requiring further evaluation.
Question 2 of 5
The chart of a client hospitalized for a total hip repair reveals that the client is colonized with MRSA. The nurse understands that the client:
Correct Answer: A
Rationale: MRSA colonization means the bacteria are present without causing active infection, so the client is asymptomatic but requires contact precautions.
Question 3 of 5
A child with scoliosis has a spica cast applied. Which action specific to the spica cast should be taken?
Correct Answer: D
Rationale: Checking for swelling is critical to detect complications like compartment syndrome in a spica cast.
Question 4 of 5
The nurse is assisting the health care provider to perform a renal biopsy. Which position should the nurse place the client in?
Correct Answer: D
Rationale: The prone position with a pillow under the shoulders and abdomen provides optimal access to the kidney for a renal biopsy.
Question 5 of 5
The nurse is assessing a client who had a colon resection 2 days ago. The client states, 'I feel like my stitches have burst loose.' Upon further assessment, dehiscence of the wound is noted. The nurse should:
Correct Answer: B
Rationale: Dehiscence requires covering the wound with a sterile, saline-moistened dressing to prevent infection and protect exposed tissues. The other actions are inappropriate or harmful.