NCLEX Practice Test RN

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Question 1 of 5.

In assessing the nature of the stool of a client who has cystic fibrosis, what would the nurse expect to see?

A. Clay-colored stools

B. Steatorrhea stools

C. Dark brown stools

D. Blood-tinged stools

Explanation: Clay-colored stools indicate dysfunction of the liver or biliary tract. In the early stages of cystic fibrosis, fat absorption is primarily affected resulting in fat, foul, frothy, bulky stools. Dark brown stools indicate normal passage through the colon. Blood-tinged stools indicate dysfunction of the gastrointestinal (GI) tract.

Question 2 of 5.

A healthcare worker is referred to the nursing office with a suspected latex allergy. The first symptom of latex allergy is usually:

A. Oral itching after eating bananas

B. Swelling of the eyes and mouth

C. Difficulty in breathing

D. Swelling and itching of the hands

Explanation: Latex allergy often first presents as localized skin reactions, such as swelling and itching of the hands, due to direct contact with latex products.

Question 3 of 5.

During the change of shift report, a nurse writes in her notes that she suspects illegal drug use by a client assigned to her care. During the shift, the notes are found by the client's daughter. The nurse could be sued for:

A. Libel

B. Slander

C. Malpractice

D. Negligence

Explanation: Libel involves written defamatory statements, such as unverified suspicions of drug use in notes accessible to others, potentially harming the client's reputation.

Question 4 of 5.

A client with myasthenia gravis is admitted in a cholinergic crisis. Signs of of cholinergic crisis include:

A. Decreased blood pressure and constricted pupils

B. Increased heart rate and increased respirations

C. Increased respirations and increased blood pressure

D. Anoxia and absence of the cough reflex

Explanation: Cholinergic crisis, often from excessive anticholinesterase medication, causes parasympathetic overstimulation, leading to decreased blood pressure and constricted pupils.

Question 5 of 5.

During morning assessments, the nurse finds that a client's nephrostomy tube has been clamped. The nurse's first action should be to:

A. Assess the drainage bag.

B. Check for bladder distention.

C. Unclamp the tubing.

D. Irrigate the tubing.

Explanation: Unclamping the nephrostomy tube is the priority to restore urine flow and prevent complications like hydronephrosis or infection.