NCLEX-RN
NCLEX-RN Exam Practice Questions
Question 1 of 5
The nurse is caring for a client with a diagnosis of postpartum depression. Which intervention is most appropriate?
Correct Answer: B
Rationale: Postpartum depression benefits from psychosocial interventions like support groups which provide emotional support and coping strategies. Magnesium sulfate antibiotics and physical activity are not specific treatments for postpartum depression.
Question 2 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 3 of 5
Which of the following changes in blood pressure readings should be of greatest concern to the nurse when assessing a prenatal client?
Correct Answer: D
Rationale: (A, B,
C) The individual's systolic and diastolic changes are more significant than the relatively high initial blood pressure readings. The systolic pressure went up 12 mm Hg and the diastolic pressure 18 mm Hg. This is a more significant rise than the increases in A-C choices, and client should receive more frequent evaluations and care.
Question 4 of 5
The physician has ordered an amniocentesis to determine the L/S ratio. The L/S ratio is a reliable indicator of:
Correct Answer: C
Rationale: The lecithin/sphingomyelin (L/S) ratio assesses fetal lung maturity by measuring surfactant levels in amniotic fluid. A ratio of 2:1 or higher indicates mature lungs reducing the risk of respiratory distress syndrome. It does not assess renal function Rh isoimmunization or anatomical abnormalities.
Question 5 of 5
A client with a history of a kidney transplant is receiving Prednisone. The nurse should monitor the client for:
Correct Answer: A
Rationale: Prednisone, a corticosteroid, suppresses immunity, increasing infection risk. Hypotension, hyperkalemia, and weight loss are not primary concerns; weight gain is more common.