NCLEX-RN
Practice NCLEX RN Test Questions
Extract:
Question 1 of 5
The physician has ordered cultures for cytomegalovirus (CMV). Which statement is true of the collection of cultures for cytomegalovirus?
Correct Answer: D
Rationale: Fresh specimens are critical for accurate CMV culture results, as the virus is labile and degrades quickly.
Question 2 of 5
The physician has ordered sublingual nitroglycerin for a client. Which of the following are contraindications for administration of sublingual or buccal medications? Select all that apply.
Correct Answer: C,D
Rationale: Red, irritated mucous membranes (
C) and dehydration (
D) impair sublingual absorption. Edentulous state (
A), mild dementia (
B), and aphasia (E) do not contraindicate sublingual administration.
Question 3 of 5
A client with schizophrenia has been taking Clozaril (clozapine) for the past 6 months. This morning the client's temperature was elevated to 102°F. The nurse should give priority to:
Correct Answer: C
Rationale: A fever of 102°F in a client on clozapine may indicate agranulocytosis, a life-threatening side effect, requiring immediate physician notification.
Question 4 of 5
The nurse is caring for a client who is receiving continuous bladder irrigation following a transurethral resection of the prostate (TURP). The nurse notes that the urine output is bright red with clots. Which of the following actions should the nurse take FIRST?
Correct Answer: B
Rationale: bright red urine with clots indicates potential bleeding, requiring immediate physician notification
Question 5 of 5
A client with a head injury develops syndrome of inappropriate antidiuretic hormone (SIADH). Which physician prescription would the nurse question?
Correct Answer: A
Rationale: D5W at 200 mL/hr is inappropriate for SIADH, as it can worsen hyponatremia by adding free water. The other options are appropriate for monitoring and treating SIADH.