NCLEX-RN
NCLEX RN Practice Questions
Extract:
Question 1 of 5
The nurse is caring for clients in outpatient surgery. The mother of a four-year-old asks the nurse how to prepare her daughter for eye surgery. Which of the following statements by the nurse is BEST?
Correct Answer: C
Rationale: use puppet or doll to show where procedure is performed; explain procedure in simple terms and what the child will see, hear, taste, smell, and feel
Question 2 of 5
The nurse is reviewing labs on a client receiving IV heparin and notes an INR of 4.6. Which order by the health care provider does the nurse anticipate?
Correct Answer: B
Rationale: Protamine sulfate is the antidote for heparin overdose, appropriate for an elevated INR indicating excessive anticoagulation.
Question 3 of 5
A client with an abdominal cholecystectomy returns from surgery with a Jackson-Pratt drain. The chief purpose of the Jackson-Pratt drain is to:
Correct Answer: C
Rationale: A Jackson-Pratt drain removes fluid from the surgical site, preventing seroma or hematoma formation.
Question 4 of 5
A client with Addison's disease has been admitted with a history of nausea and vomiting for the past 3 days. The client is receiving IV glucocorticoids (Solu-Medrol). Which of the following interventions would the nurse implement?
Correct Answer: C
Rationale: Addison's disease causes sodium loss and potassium retention, so monitoring sodium and potassium levels is essential during glucocorticoid therapy.
Question 5 of 5
The nurse is assessing a client with suspected myasthenia gravis. Which of the following findings would the nurse expect?
Correct Answer: B
Rationale: ptosis and diplopia are common signs of myasthenia gravis due to muscle weakness in the eyes