NCLEX-RN
NCLEX RN Practice Questions Questions
Extract:
Question 1 of 5
The nurse is monitoring a client following a lung resection. The hourly output from the chest tube was 300 mL. The nurse should give priority to:
Correct Answer: D
Rationale: A chest tube output of 300 mL per hour is excessive and may indicate hemorrhage, requiring immediate physician notification.
Question 2 of 5
The nurse is visiting a home health client with osteoporosis. The client has a new prescription for alendronate (Fosamax). Which instruction should be given to the client?
Correct Answer: C
Rationale: Alendronate should be taken with water only to ensure proper absorption and minimize esophageal irritation.
Question 3 of 5
The clinic record for a client reads: gravida 3, para 2. The admitting nurse is most correct to confirm which prenatal history?
Correct Answer: B
Rationale: Gravida 3, para 2 indicates three pregnancies and two births after 20 weeks’ gestation, regardless of outcome (live or stillbirth).
Question 4 of 5
A client delivered a 9-pound infant 2 hours ago. The client has an IV of D5W with oxytocin. The nurse determines that the medication is achieving the desired effect when she observes:
Correct Answer: D
Rationale: Oxytocin promotes uterine contractions, resulting in a firm fundus, which prevents postpartum hemorrhage and is the desired effect.
Question 5 of 5
The nurse employed in the emergency room is responsible for triage of four clients injured in a motor vehicle accident. Which of the following clients should receive priority in care?
Correct Answer: B
Rationale: Sternal bruises suggest potential chest trauma, requiring priority.