NCLEX-RN
Practice NCLEX RN Questions Questions
Extract:
Question 1 of 5
Which finding is associated with Tay Sachs disease?
Correct Answer: B
Rationale: Cherry-red spots on the macula are a classic finding in Tay-Sachs disease due to lipid accumulation in retinal ganglion cells.
Question 2 of 5
The priority nursing intervention for a client with sickle cell crisis is to
Correct Answer: D
Rationale: IV fluids are the priority in sickle cell crisis to reduce blood viscosity, promote perfusion, and prevent organ damage.
Question 3 of 5
A gravida III para II is admitted to the labor unit. Vaginal exam reveals that the client's cervix is 8 cm dilated, with complete effacement. The priority nursing diagnosis at this time is:
Correct Answer: B
Rationale: At 8 cm dilation with complete effacement, the client is in advanced labor, and the risk of precipitate delivery is high, posing a potential for injury.
Question 4 of 5
The registered nurse is making shift assignments. Which client should be assigned to the licensed practical nurse (LPN)?
Correct Answer: A
Rationale: LPNs can manage stable clients with routine care, like a diabetic with a foot ulcer requiring dressings. Heparin, tracheostomy weaning, and T-tube management involve complex assessments better suited for RNs.
Question 5 of 5
The oncology nurse is caring for a 24-year-old male client with testicular cancer. Cisplatin IV has been ordered. Which lab value would the nurse notify the health care provider about before administering this medication?
Correct Answer: C
Rationale: Cisplatin is nephrotoxic; a creatinine clearance of 23 mL/min indicates impaired renal function, requiring provider notification before administration.