NCLEX-RN
NCLEX RN Practice Questions
Extract:
Question 1 of 5
The nurse is preparing to administer blood to a client with anemia. Which signs and symptoms of transfusion reaction should the nurse monitor for during the first 30 minutes? Select all that apply.
Correct Answer: B, D, E
Rationale: Sudden hypertension, restlessness, confusion, jugular vein distension, low back pain, and impending doom indicate possible transfusion reactions (e.g., hemolytic or circulatory overload). Normal respiratory rate and oxygen saturation are not concerning.
Question 2 of 5
The nurse is caring for a client who lives below the poverty level. While providing discharge teaching, the nurse notes that the client has received a prescription for warfarin (Coumadin) and will need to return to the clinic for regular lab work. Which of the following is most appropriate for the nurse to ask the client?
Correct Answer: C
Rationale: Assessing transportation ensures the client can access lab monitoring for warfarin, critical for safe therapy in a low-income context.
Question 3 of 5
A client with chronic pain is being treated with opioid administration via epidural route. Which medication would it be most important to have available due to a possible complication of this pain relief procedure?
Correct Answer: B
Rationale: Epidural opioids can cause respiratory depression, a life-threatening complication. Naloxone (Narcan) is an opioid antagonist that reverses this effect, making it critical to have available. The other medications address pain, allergies, or nausea, not opioid-related complications.
Question 4 of 5
A pregnant client at 36 weeks' gestation has partial placenta previa and has been on bedrest at home for the previous 4 weeks. The client has started to have occasional contractions and is beginning to experience increasing vaginal bleeding. What intervention does the nurse anticipate?
Correct Answer: D
Rationale: Increasing bleeding with placenta previa at 36 weeks requires cesarean delivery (
D) to prevent hemorrhage.
Tocolytics (
A), induction (
B), or transfusions (
C) are not primary interventions.
Question 5 of 5
The doctor accidently cuts the bowel during surgery. As a result of this action, the client develops an infection and suffers brain damage. The doctor can be charged with:
Correct Answer: D
Rationale: Malpractice involves professional negligence by a healthcare provider, resulting in harm. The accidental cut leading to infection and brain damage constitutes malpractice.