NCLEX-RN
NCLEX RN Practice Questions
Extract:
Question 1 of 5
The nurse is caring for the client receiving Amphotericin B. Which of the following indicates that the client has experienced toxicity to this drug?
Correct Answer: B
Rationale: Nausea is a common sign of amphotericin B toxicity, often accompanied by fever and chills.
Question 2 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 3 of 5
Place the steps for an abdominal assessment in the correct order.
Order the Items
Source Container
Correct Answer: C,A,D,B
Rationale: Abdominal assessment order: inspection (visual assessment), auscultation (bowel sounds before manipulation), percussion (assess density), palpation (last to avoid altering bowel sounds).
Question 4 of 5
A client returns from surgery with a total knee replacement. Which of the following findings requires immediate nursing intervention?
Correct Answer: B
Rationale: A CPM set at 90° flexion immediately post-knee replacement is excessive and could damage the surgical site, requiring immediate adjustment.
Question 5 of 5
The nurse is admitting a client with acute liver failure. According to the Patient's Bill of Rights, which responsibilities does the nurse understand to be the client's duty? Select all that apply.
Correct Answer: A, D, E
Rationale: Clients are responsible for providing translators, accepting consequences of refusing treatment, and giving accurate medical history. Emergency stabilization is a provider duty, and payment proof is not required before care.