NCLEX-RN
Free NCLEX RN Exam Practice Questions Questions
Extract:
Question 1 of 5
Which of the following laboratory tests should the nurse monitor when the client is receiving warfarin sodium (Coumadin) therapy?
Correct Answer: D
Rationale: Warfarin therapy requires monitoring prothrombin time (PT) to assess anticoagulation effectiveness.
Question 2 of 5
The nurse is conducting walking rounds and observes the client (see figure). The nurse should do which of the following?

Correct Answer: C
Rationale: The nurse should fi rst determine why the client wants to sit up, and then, if needed delegate someone to assist the client. Loosening the restraints will not keep the client safe in bed. Raising theside rails and elevating the head of the bed do not address the client’s needs.
Question 3 of 5
A client with angina shows the nurse her nitroglycerin (Nitrostat) that she carries in a plastic bag in her pocket. The nurse instructs the client that nitroglycerin should be kept in:
Correct Answer: C
Rationale: Nitroglycerin is sensitive to light and heat, which can degrade its potency. Storing it in a dark container protects it from light exposure, ensuring effectiveness.
Question 4 of 5
Which of the following demonstrates that the client needs further instruction after being taught about ciprofloxacin (Cipro)?
Correct Answer: A
Rationale: Adequate hydration is important with ciprofloxacin, but 1,000–1,500 mL may be insufficient for adults, who typically need 2,000–3,000 mL daily to prevent crystalluria. Other statements are correct.
Question 5 of 5
The nurse judges that the parents of a newborn with imperforate anus know what a low defect is when they say that the rectum:
Correct Answer: C
Rationale: A low defect in imperforate anus means the rectum has descended through the puborectalis muscle, indicating a less severe anomaly. Other options describe incorrect anatomical positions.