NCLEX-RN
NCLEX RN Practice Questions
Extract:
Question 1 of 5
The nurse is performing a history on a client admitted for surgery in the morning. Which long-term medication in the client's history would be most important to report to the physician?
Correct Answer: A
Rationale: Prednisone, a corticosteroid, can affect wound healing, immune response, and adrenal function, requiring perioperative adjustments. The other medications are less critical.
Question 2 of 5
The nurse is caring for a client following a laryngectomy. The nurse can best help the client with communication by:
Correct Answer: A
Rationale: A pad and pencil allow the client, who cannot speak after a laryngectomy, to communicate effectively by writing messages.
Question 3 of 5
A client with cancer is experiencing a common side effect of chemotherapy administration. Which laboratory assessment finding would cause the most concern?
Correct Answer: C
Rationale: A platelet count of 100,000/mm^3 indicates thrombocytopenia, a common chemotherapy side effect, increasing bleeding risk and requiring close monitoring.
Question 4 of 5
A newborn with narcotic abstinence syndrome is admitted to the nursery. Nursing care of the newborn should include:
Correct Answer: B
Rationale: Swaddling helps reduce irritability and overstimulation in newborns with narcotic abstinence syndrome.
Question 5 of 5
An obstetrical client calls the clinic with complaints of morning sickness. The nurse should tell the client to:
Correct Answer: A
Rationale: Eating crackers before getting out of bed stabilizes stomach acid and blood sugar, reducing morning sickness.