NCLEX-RN
NCLEX RN Practice Test Questions
Extract:
Question 1 of 5
The nurse is teaching a newly diagnosed client about Crohn's disease but discovers that the client has several barriers to learning. The nurse understands that socioeconomic barriers to learning include which factors? Select all that apply.
Correct Answer: B, D
Rationale: Low literacy and lack of access to health resources are socioeconomic barriers to learning, while cognitive delays and lack of interest are not strictly socioeconomic, and adequate insurance is not a barrier.
Question 2 of 5
A young adult who was in a motorcycle accident is brought to the emergency room with a closed head injury with suspected subdural hematoma. Although the client complains of a severe headache, he is alert and answers questions appropriately. The nurse would question which of the following orders?
Correct Answer: B
Rationale: narcotic analgesic, causes CNS and respiratory depression, contraindicated in head injury because it masks signs of increased intracranial pressure
Question 3 of 5
A client is receiving gentamicin sulfate (Gentamicin) injections as part of her treatment regimen for a pseudomonas infection. The nurse knows to assess for what potential adverse reaction to this medication?
Correct Answer: D
Rationale: Gentamicin, an aminoglycoside, is associated with ototoxicity (hearing loss or balance issues) as a major adverse effect, requiring close monitoring.
Question 4 of 5
A client is being assessed for neutropenia. The client's total white blood cell count is 5200 with 45% neutrophils and 5% bands. What is the absolute neutrophil count (ANC)? Record your answer using a whole number.
Correct Answer: 2600
Rationale: ANC = WBC X (Neutrophils% + Bands%) = 5200 X (0.45 + 0.05) = 5200 X 0.5 = 2600.
Question 5 of 5
The nurse is teaching the client regarding use of sodium warfarin. Which statement made by the client would require further teaching?
Correct Answer: C
Rationale: Aspirin increases bleeding risk when taken with warfarin, indicating a need for further teaching to avoid this combination.