NCLEX-RN
NCLEX RN Practice Test Questions
Extract:
Question 1 of 5
The nurse is observing a graduate nurse as she assesses the central venous pressure. Which observation would indicate that the graduate needs further teaching?
Correct Answer: C
Rationale: The Valsalva maneuver falsely elevates CVP; normal breathing is required.
Question 2 of 5
The nurse is assessing the chart of a client with a stroke. MRI results reveal a hemorrhagic stroke to the brain. Which physician prescription would the nurse question?
Correct Answer: C
Rationale: Heparin is contraindicated in hemorrhagic stroke due to the risk of worsening bleeding, making this prescription inappropriate and requiring clarification.
Question 3 of 5
The nurse is administering afternoon medications, which include an antihypertensive med and aspirin for pain relief. Which of the following should the nurse do first before administering the medications?
Correct Answer: A
Rationale: Verifying the client’s identity using two identifiers (name and date of birth on wristband) ensures medication safety per protocol.
Question 4 of 5
The nurse is caring for a 10-year-old boy with hemophilia. The nurse suspects the child has developed hemarthrosis when she observes
Correct Answer: D
Rationale: Hemarthrosis (joint bleeding) in hemophilia presents with redness, swelling, and warmth over the joint due to blood accumulation.
Question 5 of 5
The physician has scheduled a Whipple procedure for a client with pancreatic cancer. The nurse recognizes that the client's cancer is located in:
Correct Answer: B
Rationale: The Whipple procedure is typically performed for pancreatic cancer in the head of the pancreas, involving resection of the pancreatic head, duodenum, and other structures.