NCLEX-RN
NCLEX RN Exam Questions Questions
Question 1 of 5
A 13-year-old hemophiliac is hospitalized for hemarthrosis of his right knee. To relieve the pain, the nurse should:
Correct Answer: A
Rationale: Bed rest, elevation, and splinting reduce bleeding and pain in hemarthrosis, stabilizing the joint.
Question 2 of 5
The nurse is caring for a client with a diagnosis of placenta previa. Which symptom is most characteristic?
Correct Answer: A
Rationale: Placenta previa causes painless vaginal bleeding due to the placenta covering the cervix. Painful bleeding suggests abruptio placenta and fetal heart rate or fever are not specific to previa.
Question 3 of 5
The nurse is assessing a newborn in the well-baby nursery. Which finding should alert the nurse to the possibility of a cardiac anomaly?
Correct Answer: A
Rationale: Diminished femoral pulses in a newborn suggest coarctation of the aorta, a cardiac anomaly, due to reduced blood flow to the lower extremities. The other findings are normal or nonspecific.
Question 4 of 5
A client had a cardiac catheterization with angiography and thrombolytic therapy with streptokinase. The nurse should initiate which of the following interventions immediately after he returns to his room?
Correct Answer: B
Rationale: A contrast dye, iodine, is used in this procedure. This dye is nephrotoxic. The client must be encouraged to drink plenty of liquids to assist the kidneys in eliminating the dye. Streptokinase activates plasminogen, dissolving fibrin deposits.
To prevent bleeding, pressure is applied at the insertion site. The client is assessed for both internal and external bleeding. The extremity used for the insertion site must be kept straight and be immobilized because of the potential for bleeding. The client is kept on bed rest for 8-12 hours following the procedure because of the potential for bleeding.
Question 5 of 5
The nurse has just received a report from the previous shift.
Correct Answer: B
Rationale: Shortness of breath post-MVA suggests potential trauma (e.g., pneumothorax), requiring immediate assessment. COPD with PCO2 50 (
A) is stable, pain (
C) is less urgent, and mild fever (
D) is expected post-op.