NCLEX-RN
NCLEX RN Practice Test Questions
Extract:
Question 1 of 5
The nurse is educating the lady's club in self-breast exam. The nurse is aware that most malignant breast masses occur in the Tail of Spence. On the diagram, place an X on the Tail of Spence.
Correct Answer: A
Rationale: The Tail of Spence is the upper outer quadrant of the breast, where an X should be placed, as most breast cancers occur in this area.
Question 2 of 5
The 6-month-old client with a ventral septal defect is receiving Digitalis for regulation of his heart rate. Which finding should be reported to the doctor?
Correct Answer: C
Rationale: A heart rate of 60 bpm in a 6-month-old is too low (normal is 80-160 bpm), indicating possible digitalis toxicity, which should be reported.
Question 3 of 5
The client is taking rifampin 600 mg po daily to treat his tuberculosis. Which action by the nurse indicates understanding of the medication?
Correct Answer: B
Rationale: Rifampin causes orange-red discoloration of urine, a normal side effect the nurse should explain.
Question 4 of 5
Which statement by the parent of a child with sickle cell anemia indicates an understanding of the disease?
Correct Answer: C
Rationale: Extra fluids in summer prevent dehydration, which can trigger sickle cell crises, indicating parental understanding of disease management.
Question 5 of 5
A client with diabetes mellitus has a prescription for Glucotrol XL (glipizide). The client should be instructed to take the medication:
Correct Answer: B
Rationale: Glucotrol XL (glipizide) is an oral hypoglycemic agent that works best when taken with breakfast to manage blood glucose levels throughout the day.