NCLEX-RN
NCLEX RN Practice Questions
Extract:
Question 1 of 5
The nurse recognizes which of the following as a dual diagnosis?
Correct Answer: C
Rationale: Dual diagnosis refers to a mental health disorder and a substance use disorder. Bipolar disorder and alcoholism fit this definition.
Question 2 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 3 of 5
Following a lumbar puncture, a client develops a severe headache that persists 24 hours and is unrelieved by bedrest or oral fluids. Which of the following interventions does the nurse anticipate?
Correct Answer: C
Rationale: A persistent post-lumbar puncture headache suggests CSF leak, treated with an epidural blood patch (
C). Prolonged bedrest (
A), opioids (
B), or IV fluids (
D) are less effective.
Question 4 of 5
A client has had a central catheter inserted for administration of parenteral nutrition. An X-ray was taken to ensure correct positioning prior to commencing infusions. The X-ray report indicates that the catheter tip is in the right atrium. Which of the following actions by the nurse is correct?
Correct Answer: A
Rationale: Catheter tip in the right atrium is too far; infusion should be held and the MD notified (
A) for repositioning. Adjusting the catheter (B,
D) or starting infusion (
C) is unsafe.
Question 5 of 5
Which type of laxative agent is usually the safest for most people?
Correct Answer: A
Rationale: Bulk laxatives (
A), like fiber, are safest, promoting natural bowel movements with minimal side effects. Other types (B, C,
D) may cause dependency or electrolyte imbalances.