NCLEX-RN
NCLEX RN Practice Test Questions
Extract:
Question 1 of 5
The school nurse recognizes that meningitis can be caused by which of the following? Select all that apply.
Correct Answer: A,B,C,D,E
Rationale: Meningitis can be caused by bacteria, viruses, fungi, parasites, or noninfectious factors (e.g., cancer, trauma).
Question 2 of 5
The nurse is caring for a client who has verbalized the desire to commit suicide. He has a detailed, concrete plan in place. The nurse places the client on suicide precautions, which include assigning the client a 24-hour sitter. The client becomes angry and refuses the sitter. Which action by the nurse is the most appropriate?
Correct Answer: C
Rationale: A detailed suicide plan indicates high risk. Assigning a sitter despite refusal ensures safety, as patient consent is secondary to preventing harm.
Question 3 of 5
The nurse assesses the development of a three-month-old boy in the well-baby clinic. Which of the following behaviors, if observed by the nurse, would be UNEXPECTED?
Correct Answer: B
Rationale: unexpected until 6 months of age
Question 4 of 5
A client is receiving gentamicin sulfate (Gentamicin) injections as part of her treatment regimen for a pseudomonas infection. The nurse knows to assess for what potential adverse reaction to this medication?
Correct Answer: D
Rationale: Gentamicin, an aminoglycoside, is associated with ototoxicity (hearing loss or balance issues) as a major adverse effect, requiring close monitoring.
Question 5 of 5
The nurse is infusing total parenteral nutrition (TPN). The primary purpose for closely monitoring the client's intake and output is:
Correct Answer: D
Rationale: Monitoring intake and output during TPN helps prevent fluid overload, a risk due to the high volume and osmolarity of the solution.