NCLEX-RN
NCLEX RN Practice Test Questions
Extract:
Question 1 of 5
The physician has ordered sodium warfarin for the client with thrombophlebitis. The order should be entered to administer the medication at:
Correct Answer: C
Rationale: Warfarin is typically given in the late afternoon to align with INR monitoring.
Question 2 of 5
While performing a neurological assessment on a client with a closed head injury, the nurse notes a positive Babinski reflex. The nurse should:
Correct Answer: D
Rationale: A positive Babinski reflex in an adult with a head injury suggests neurological damage, warranting immediate physician notification.
Question 3 of 5
The nurse is assigning staff to care for a number of clients with emotional disorders. Which facet of care is suitable to the skills of the nursing assistant?
Correct Answer: B
Rationale: Assisting with bathing and grooming is within the nursing assistant's scope, supporting a client with depression in maintaining personal hygiene.
Question 4 of 5
The nurse is talking with a client who has been diagnosed with thyroid cancer. The client is asking about different treatment options. Which response by the nurse is most appropriate?
Correct Answer: C
Rationale: This response encourages open communication and assesses the client's current knowledge, facilitating a patient-centered discussion about treatment options.
Question 5 of 5
When the nurse checks the fundus of a client on the first postpartum day, she notes that the fundus is firm, is at the level of the umbilicus, and is displaced to the right. The next action the nurse should take is to:
Correct Answer: A
Rationale: A fundus displaced to the right on the first postpartum day is often due to bladder distention, which should be assessed next.