NCLEX-RN
NCLEX RN Practice Test Questions
Extract:
Question 1 of 5
The nurse is caring for a client with suspected meningitis who will be having a lumbar puncture. Which statement regarding aftercare is correct?
Correct Answer: D
Rationale: Post-lumbar puncture care includes assessing for neurological changes, pain, drainage, and voiding to detect complications like nerve injury or CSF leak.
Question 2 of 5
The nurse is preparing a middle-aged female for a total knee replacement (TKR) surgery on her left leg tomorrow. Which statement by the nurse is incorrect?
Correct Answer: C
Rationale: A fracture pan is inappropriate post-TKR; a bedpan or bedside commode is typically used. Other statements are correct.
Question 3 of 5
The clinical triad of abnormalities seen in serotonin syndrome includes all of the following EXCEPT
Correct Answer: D
Rationale: Serotonin syndrome involves cognitive (confusion), autonomic (fever, sweating), and somatic (tremors, rigidity) effects. Behavioral effects are not part of the classic triad.
Question 4 of 5
A client with B negative blood requires a blood transfusion during surgery. If no B negative blood is available, the client should be transfused with:
Correct Answer: C
Rationale: O negative blood is the universal donor type, safe for transfusion in emergencies when B negative blood is unavailable.
Question 5 of 5
A client is admitted to an inpatient psychiatric unit after being found unresponsive as a result of prescribed opioid drugs. Upon awakening she attempts to get out of bed and is unsteady. The nurse is concerned that the client will fall. The doctor ordered a vest restraint to be applied as necessary to maintain client safety. The client refuses the restraints. The nurse should take which of the following actions?
Correct Answer: A
Rationale: Moving the client closer to the nursing station allows close monitoring without violating the client’s refusal of restraints, prioritizing safety and autonomy.