NCLEX-RN
NCLEX RN Practice Questions
Extract:
Question 1 of 5
The nurse is reviewing labs on a client receiving IV heparin and notes an INR of 4.6. Which order by the health care provider does the nurse anticipate?
Correct Answer: B
Rationale: Protamine sulfate is the antidote for heparin overdose, appropriate for an elevated INR indicating excessive anticoagulation.
Question 2 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 3 of 5
The client with an abdominal aortic aneurysm is admitted in preparation for surgery. Which of the following should be reported to the doctor?
Correct Answer: A
Rationale: An elevated white blood cell count may indicate infection or inflammation, which requires prompt reporting before surgery.
Question 4 of 5
The nurse is assessing the integumentary system of a dark-skinned individual. Which area would be the most likely to show a skin cancer lesion?
Correct Answer: D
Rationale: In dark-skinned individuals, skin cancer lesions (e.g., melanoma) are more likely on less pigmented areas like the palms, where changes are more visible.
Question 5 of 5
A client with Addison's disease has been admitted with a history of nausea and vomiting for the past 3 days. The client is receiving IV glucocorticoids (Solu-Medrol). Which of the following interventions would the nurse implement?
Correct Answer: C
Rationale: Addison's disease causes sodium loss and potassium retention, so monitoring sodium and potassium levels is essential during glucocorticoid therapy.