NCLEX-RN
NCLEX-RN Exam Practice 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 level with the umbilicus and displaced to the side. The next action the nurse should take is to:
Correct Answer: A
Rationale: A displaced fundus on the first postpartum day is often due to bladder distention which pushes the uterus aside. Checking for bladder distention (e.g. by palpation or encouraging voiding) is the next step to correct the displacement.
Question 2 of 5
The nurse at a college campus is preparing to medicate several students who have been exposed to meningococcal meningitis.Which would the nurse most likely administer?
Correct Answer: B
Rationale: Ciprofloxacin is a fluoroquinolone antibiotic recommended for post-exposure prophylaxis in meningococcal meningitis due to its effectiveness against Neisseria meningitidis. Ampicillin, Vancomycin, and Piperacillin/Tazobactam are not typically used for this purpose.
Question 3 of 5
The nurse is assessing a client with suspected pulmonary edema. Which finding is most expected?
Correct Answer: A
Rationale: Crackles in the lung bases indicate fluid accumulation in pulmonary edema. Tachycardia, productive cough, and hypertension are more common than bradycardia, dry cough, or hypotension.
Question 4 of 5
A client with a history of leukemia is admitted with complaints of fatigue. The nurse should expect the client to have:
Correct Answer: A
Rationale: Leukemia impairs bone marrow function, reducing red blood cell production and causing anemia, which leads to fatigue.
Question 5 of 5
A client in labor has an order for Demerol (meperidine) 75 mg. IM to be administered 10 minutes before delivery. The nurse should:
Correct Answer: B
Rationale: Meperidine given close to delivery can cause neonatal respiratory depression due to its sedative effects crossing the placenta. The nurse should question the timing of the order.