NCLEX-RN
NCLEX RN Practice Exam Questions
Extract:
Question 1 of 5
The physician orders an MRI of the spine with infusion for an adult female. Which of the following findings in the client's history should the nurse report to the physician?
Correct Answer: A
Rationale: Shellfish allergy may indicate iodine sensitivity, a concern for MRI contrast, requiring physician evaluation to prevent allergic reactions.
Question 2 of 5
A nurse wants to develop a therapeutic relationship with an anxious new client. Which of the following is an open-ended question?
Correct Answer: C
Rationale: Open-ended questions encourage elaboration, like 'How is your anxiety on the weekends?' Others are closed-ended or reflective statements.
Question 3 of 5
The nurse is observing a student nurse administering ear drops to a 2-year-old. Which observation by the nurse would indicate correct technique?
Correct Answer: C
Rationale: For children under 3, pulling the pinna down and back straightens the ear canal for proper ear drop administration.
Question 4 of 5
The mother of a male child with cystic fibrosis tells the nurse that she hopes her son's children won't have the disease. The nurse is aware that:
Correct Answer: B
Rationale: Most males with cystic fibrosis are sterile due to congenital absence of the vas deferens, significantly reducing the likelihood of having biological children.
Question 5 of 5
The client is diagnosed with multiple myloma. The doctor has ordered cyclophosphamide (Cytoxan). Which instruction should be given to the client?
Correct Answer: D
Rationale: Cyclophosphamide can cause hemorrhagic cystitis; adequate hydration (e.g., 8 glasses of water) helps prevent this.