NCLEX-RN
NCLEX RN Practice Questions
Extract:
Question 1 of 5
The nurse is working in the trauma unit of the emergency room when a 24-year-old female is admitted after an MVA. The client is bleeding profusely and a blood transfusion is ordered. Which would the nurse be prepared to administer without a type and crossmatch?
Correct Answer: D
Rationale: O negative blood is the universal donor type, safe for transfusion without type and crossmatch in emergencies, as it lacks antigens that could cause reactions.
Question 2 of 5
The mother of a 1-year-old wants to know when she should begin toilettraining her child. The nurse's response is based on the knowledge that sufficient sphincter control for toilet training is present by:
Correct Answer: B
Rationale: Sufficient sphincter control for toilet training typically develops between 18-24 months, when children gain the physical and cognitive readiness for training.
Question 3 of 5
The nurse caring for a client with myasthenia gravis recognizes which of the following as the priority nursing diagnosis?
Correct Answer: C
Rationale: Myasthenia gravis causes muscle weakness, including respiratory muscles, making ineffective airway clearance the priority due to risk of respiratory failure.
Question 4 of 5
The nurse is teaching a client with a new diagnosis of chronic lymphocytic leukemia about infection prevention. Which of the following instructions should the nurse include?
Correct Answer: A
Rationale: avoiding crowds and sick individuals reduces the risk of infection in immunocompromised clients
Question 5 of 5
Lidocaine is a medication frequently ordered for the client experiencing:
Correct Answer: B
Rationale: Lidocaine is used to treat ventricular tachycardia by stabilizing cardiac membranes.