NCLEX-RN
NCLEX RN Practice Questions PDF Questions
Extract:
Question 1 of 5
The nurse is caring for clients on the neurology unit. What would be the MOST appropriate action for the nurse to take after noting that a client suddenly developed a fixed and dilated pupil?
Correct Answer: D
Rationale: implementation, fixed and dilated pupil represents a neurological emergency
Question 2 of 5
The nurse is teaching a client with a new diagnosis of osteoporosis about lifestyle modifications. Which of the following recommendations should the nurse include?
Correct Answer: D
Rationale: smoking cessation and limiting alcohol reduce bone loss and fracture risk in osteoporosis
Question 3 of 5
A nurse on the orthopedics floor is asked by another nurse to witness her waste 1 mg of morphine. The nurse draws the full 2 mg dose of morphine into the syringe and tells the first nurse, 'This client does not get enough pain relief with 1 mg of morphine, so I just go ahead and give 2 mg to keep him comfortable because the doctor won't change the dose.' Which is the correct action by the first nurse?
Correct Answer: B
Rationale: Administering an unordered dose is a medication error and potential diversion. Refusing to sign and reporting ensures patient safety and accountability.
Question 4 of 5
The nurse is caring for a 27-year-old client in active labor. After reviewing the fetal heart tone strip shown, the nurse should take which action first?
Correct Answer: A
Rationale: Repositioning the client is the first step to improve fetal oxygenation if the fetal heart tone strip shows distress, as it is non-invasive and may resolve the issue.
Question 5 of 5
The nurse has an order for medication to be administered intrathecally. The nurse is aware that medications will be administered by which method?
Correct Answer: D
Rationale: Intrathecal administration involves delivering medication directly into the cerebrospinal fluid, typically via a spinal injection, to target the central nervous system effectively.