NCLEX-RN
NCLEX RN Practice Test Questions
Extract:
Question 1 of 5
The nurse understands that the diagnosis of oral cancer is confirmed with:
Correct Answer: A
Rationale: A biopsy provides definitive histological evidence of oral cancer, confirming the diagnosis.
Question 2 of 5
A 22-year-old female primigravida who is at 36 weeks' gestation is seen in the ED with a low platelet count, ALT of 68 U/L, AST of 55 U/L, and a continuous, severe headache that has lasted three days. The nurse prepares for what to occur?
Correct Answer: C
Rationale: The symptoms suggest HELLP syndrome (hemolysis, elevated liver enzymes, low platelets), a medical emergency requiring prompt delivery of the baby.
Question 3 of 5
An ICU nurse is caring for a client receiving total parenteral nutrition (TPN) via IV. The client's infusion ended 2 hours ago and the pharmacy has not yet sent another bag. The client is diaphoretic, tachycardic, and states he feels weak, dizzy, and fatigued. The nurse suspects
Correct Answer: D
Rationale: Abrupt cessation of TPN can cause hypoglycemia due to persistent insulin secretion, leading to diaphoresis, tachycardia, weakness, and dizziness.
Question 4 of 5
The nurse is precepting a student nurse on the medical-surgical unit. The student nurse is preparing to administer insulin. Which action by the student nurse calls for immediate intervention?
Correct Answer: B
Rationale: Regular insulin is the only type safe for IV administration; other insulins like NPH are not, requiring immediate intervention.
Question 5 of 5
A client complains of sharp, stabbing pain in the right lower quadrant that is graded as level 8 on a scale of 10. The nurse knows that pain of this severity can best be managed using:
Correct Answer: D
Rationale: Morphine sulfate is the most effective for severe, acute pain due to its strong opioid properties.