NCLEX-RN
NCLEX RN Exam Questions Questions
Extract:
Question 1 of 5
The nurse is preparing to administer a dose of vancomycin (Vancocin) IV. Which assessment is most important before administration?
Correct Answer: B
Rationale: Vancomycin is nephrotoxic, so renal function tests (e.g., creatinine) are critical before administration to prevent kidney damage. Liver tests, WBC, and platelets are less directly related.
Question 2 of 5
A 72-year-old male client had the Foley catheter that was inserted during the transurethral resection of his prostate removed today. He is concerned about the urinary incontinence he is having since removal of the Foley catheter. The nurse explains that:
Correct Answer: B
Rationale: This problem is usually temporary, but it may take some time to resolve.
Question 3 of 5
A client with a history of gout is prescribed allopurinol (Zyloprim). Which laboratory value should the nurse monitor closely?
Correct Answer: A
Rationale: Allopurinol reduces uric acid production in gout. Monitoring serum uric acid ensures therapeutic effect. Glucose (
B), potassium (
C), and hemoglobin (
D) are not directly affected.
Question 4 of 5
The nurse is caring for a client with a history of ectopic pregnancy. Which risk factor is most likely to be present?
Correct Answer: A
Rationale: Pelvic inflammatory disease (PI
D) is a major risk factor for ectopic pregnancy as it can scar the fallopian tubes impairing embryo transport. Gestational diabetes hypertension and multiple gestations are not strongly associated.
Question 5 of 5
A client with nontropical sprue has an exacerbation of symptoms. Which meal selection is responsible for the recurrence of the client's symptoms?
Correct Answer: C
Rationale: Nontropical sprue (celiac disease) involves gluten intolerance. Crackers in the soup likely contain gluten, triggering symptoms. The other options are gluten-free.