NCLEX-RN
NCLEX-RN Exam Questions
Extract:
Question 1 of 5
When preparing a client for magnetic resonance imaging, the nurse should implement which of the following?
Correct Answer: C
Rationale: Removing jewelry and checking for metal implants prevents MRI-related injuries due to magnetic fields. Consent and atropine (
A), scrubbing (
B), and Benadryl (
D) are not standard for MRI prep.
Question 2 of 5
During a change of shift, the oncoming nurse notes a discrepancy in the narcotic count. The nurse’s first action should be to:
Correct Answer: B
Rationale: A discrepancy in the narcotic count requires immediate investigation to ensure patient safety and compliance. Notifying the nursing supervisor is the first step, as they can initiate an internal review. The pharmacist, board, or director are notified later if needed.
Question 3 of 5
The amniocentesis reveals that the patient has a high AFP level. The nurse is aware that a high level of AFP is associated with which of the following?
Correct Answer: A
Rationale: High alpha-fetoprotein (AFP) levels in amniotic fluid are associated with neural tube defects such as myelomeningocele (a type of spina bifida). Esophageal atresia omphalocele and Trisomy 21 (Down syndrome) are not typically associated with elevated AFP levels.
Question 4 of 5
The nurse is caring for a client post-appendectomy. Which finding requires immediate intervention?
Correct Answer: B
Rationale: A temperature of 101.5°F post-appendectomy suggests infection (e.g., abscess), requiring immediate intervention. Pain (
A), serous drainage (
C), and absent bowel sounds (
D) are expected initially.
Question 5 of 5
The client is admitted to the emergency room with shortness of breath, anxiety, and tachycardia. His ECG reveals atrial fibrillation with a ventricular response rate of 130 beats per minute. The doctor orders quinidine sulfate. While he is receiving quinidine, the nurse should monitor his ECG for:
Correct Answer: D
Rationale: Quinidine, an antiarrhythmic, can prolong the QT interval, increasing the risk of torsades de pointes. Monitoring the ECG for QT prolongation is critical. The other ECG changes are not specific to quinidine.