NCLEX-RN
Best NCLEX RN Question Bank Questions
Extract:
Question 1 of 5
Which of the following are the five Rights of Supervision?
Correct Answer: B
Rationale: The five Rights of Supervision are the right task, right circumstances, right person, right direction or communication, and right supervision or feedback . These ensure that delegated tasks are performed safely and effectively by the appropriate personnel under proper guidance.
Question 2 of 5
A client is admitted to the hospital in sickle cell crisis. For which clinical indicator should the nurse monitor the client?
Correct Answer: A
Rationale: Sickle cell crisis usually causes severe pain in the bones and joints along with joint swelling. The pain develops as a result of microvascular occlusion from abnormal sickled hemoglobin that occurs with hypoxia. Therapy includes pain management with opioid analgesics, supplemental oxygen, and intravenous fluids. The remaining options are not associated with sickle cell crisis.
Question 3 of 5
A client with a history of stroke is prescribed clopidogrel (Plavix). The nurse should instruct the client to report which of the following side effects immediately?
Correct Answer: B
Rationale: Bruising may indicate bleeding, a serious side effect of clopidogrel, an antiplatelet medication, requiring immediate reporting.
Question 4 of 5
When determining the parents' compliance with treatment for their child's ear infection, the nurse should ask the parents if they are:
Correct Answer: D
Rationale: Holding the child upright during feeding prevents milk from entering the Eustachian tube, reducing ear infection risk.
Question 5 of 5
The nurse is administering propranolol (Inderal) to a client for control of migraine headaches. The client's pulse rate is 56 bpm. What should the nurse do next?
Correct Answer: A
Rationale: Propranolol, a beta-blocker, can cause bradycardia. A pulse of 56 bpm is concerning and warrants immediate physician notification to evaluate the need for dose adjustment or intervention.