NCLEX-RN
NCLEX-RN Exam Practice Questions
Extract:
Question 1 of 5
A 22-year-old client who is being seen in the clinic for a possible asthma attack stops wheezing suddenly as the nurse is doing a lung assessment. Which one of the following nursing interventions is most important?
Correct Answer: D
Rationale: During impending respiratory failure or asthmatic complications, the client is placed in the high-Fowler position to facilitate comfort and promote optimal gas exchange. Arterial blood gases are monitored in the treatment of respiratory failure during an asthma attack, but it is not an initial intervention. O2 therapy is used during an asthma attack, but it is not the initial intervention. The usual prescribed amount is a cautiously low flow rate of 1-2 L/min. Wheezing is a characteristic clinical finding during an asthma attack. If wheezing suddenly ceases, it usually indicates a complete airway obstruction and requires immediate treatment for respiratory failure or arrest.
Question 2 of 5
The client is admitted with a diagnosis of gestational trophoblastic disease. Which diagnostic test is most likely to be ordered?
Correct Answer: C
Rationale: Serum hCG levels are markedly elevated in gestational trophoblastic disease and ultrasound reveals a characteristic “snowstorm” pattern or grape-like vesicles. Both tests are essential for diagnosis.
Question 3 of 5
Based on your knowledge of genetic inheritance, which of these statements is true for autosomal recessive genetic disorders?
Correct Answer: D
Rationale: If both parents are affected by the disorder and are not just carriers, then all their children would manifest the same disorder.
Question 4 of 5
A 55-year-old man has recently been diagnosed with hypertension. His physician orders a low-sodium diet for him. When he asks, 'What does salt have to do with high blood pressure?' the nurse's initial response would be:
Correct Answer: B
Rationale: Excess salt causes fluid retention, increasing blood volume and thus blood pressure.
Question 5 of 5
The nurse has been asked to present a lecture on the prevention of West Nile virus in the community setting. Which does the nurse include in the teaching plan?
Correct Answer: A
Rationale: West Nile virus is transmitted by mosquitoes. Wearing protective clothing outside reduces exposure. Midday avoidance (
B) is less effective, DEET repellant (
C) is recommended, and the virus affects all ages, not just under 18 (
D).