NCLEX-RN
NCLEX RN Practice Test Questions
Extract:
Question 1 of 5
The nurse notes the following laboratory test results on a 24-hour postburn client. Which abnormality should be reported to the physician immediately?
Correct Answer: A
Rationale: Hyperkalemia (7.5 mEq/L) is life-threatening, risking cardiac arrhythmias, and requires immediate reporting for urgent correction.
Question 2 of 5
A client with a severe corneal ulcer has an order for Gentamycin gtt. q 4 hours and Neomycin 1 gtt q 4 hours. Which of the following schedules should be used when administering the drops?
Correct Answer: A
Rationale: Administering eye drops 5 minutes apart prevents dilution and ensures each medication's efficacy.
Question 3 of 5
The nurse is caring for a client who has verbalized the desire to commit suicide. He has a detailed, concrete plan in place. The nurse places the client on suicide precautions, which include assigning the client a 24-hour sitter. The client becomes angry and refuses the sitter. Which action by the nurse is the most appropriate?
Correct Answer: C
Rationale: A detailed suicide plan indicates high risk. Assigning a sitter despite refusal ensures safety, as patient consent is secondary to preventing harm.
Question 4 of 5
The nurse caring for a client with anemia recognizes which clinical manifestation as the one that is specific for a hemolytic type of anemia?
Correct Answer: A
Rationale: Hemolytic anemia causes red blood cell destruction, leading to bilirubin buildup and jaundice, which is specific to this type. Anorexia, tachycardia, and fatigue are nonspecific.
Question 5 of 5
A client with a stroke and malnutrition has been placed on Total Parenteral Nutrition (TPN). The nurse notes air entering the client via the central line. Which initial action is most appropriate?
Correct Answer: C
Rationale: Air embolism requires placing the client in the left lateral decubitus position with the head down to trap air in the right atrium, preventing further embolization. This is the priority action.