NCLEX-RN
NCLEX RN Practice Exam Questions
Extract:
Question 1 of 5
Which of the following findings are indicative of peripheral arterial insufficiency? Select all that apply.
Correct Answer: A,D,F
Rationale: Peripheral arterial insufficiency causes throbbing pain with exercise (
A), shiny skin with hair loss (
D), and pale color on elevation with redness on dependency (F). Aching pain with dependency (
B) and brown pigment (E) suggest venous insufficiency, and capillary refill <2 seconds (
C) is normal.
Question 2 of 5
The client is diagnosed with multiple myloma. The doctor has ordered cyclophosphamide (Cytoxan). Which instruction should be given to the client?
Correct Answer: D
Rationale: Cyclophosphamide can cause hemorrhagic cystitis; adequate hydration (e.g., 8 glasses of water) helps prevent this.
Question 3 of 5
A client with cancer who is receiving chemotherapeutic drugs has been given injections of (pegfilgastrin) Neulasta. Which laboratory value reveals that the drug is producing the desired effect?
Correct Answer: B
Rationale: Pegfilgrastim (Neulasta) stimulates white blood cell production. A WBC count of 6,000/mm indicates the drug is effective in preventing neutropenia.
Question 4 of 5
A client has a diagnosis of discoid lupus erythematosus (DLE). The nurse recognizes that discoid lupus differs from systemic lupus erythematosus because it:
Correct Answer: B
Rationale: Discoid lupus erythematosus primarily affects the skin, causing chronic rashes, unlike systemic lupus, which can involve multiple organs.
Question 5 of 5
The primary reason for rapid continuous rewarming of the area affected by frostbite is to:
Correct Answer: A
Rationale: Rapid rewarming minimizes cellular damage by restoring blood flow and preventing further tissue injury in frostbite.