NCLEX-RN
NCLEX RN Practice Test Questions
Extract:
Question 1 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.
Question 2 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 3 of 5
The nurse is caring for a client with amyotrophic lateral sclerosis (ALS, Lou Gehrig's disease). The nurse should give priority to:
Correct Answer: A
Rationale: Respiratory muscle weakness in ALS can lead to respiratory failure, making respiratory status assessment the priority.
Question 4 of 5
The nurse is teaching a client with chronic kidney disease about dietary restrictions. Which of the following foods should the client limit to prevent hyperkalemia?
Correct Answer: B
Rationale: potatoes are high in potassium, which should be limited in chronic kidney disease to prevent hyperkalemia
Question 5 of 5
The nurse is assessing a 6-year-old following a tonsillectomy. Which one of the following signs is an early indication of hemorrhage?
Correct Answer: A
Rationale: Drooling of bright red secretions indicates active bleeding, a critical sign of post-tonsillectomy hemorrhage requiring immediate attention.