NCLEX-RN
RN NCLEX Practice Questions Questions
Extract:
Question 1 of 5
A 23-year-old woman who is 16 weeks pregnant is seen by the nurse for a routine maternal-child clinic appointment. The client has had erratically controlled type 1 diabetes since 12 years old. The client asks the nurse if she is at risk during her pregnancy. The nurse instructs the client she should do which of the following actions to limit complications for both her and her baby? Select all that apply.
Correct Answer: A, C, D
Rationale: Healthy eating, taking insulin as directed, and monitoring blood sugar before meals help control diabetes and reduce pregnancy complications. Exercise is generally encouraged, not avoided.
Question 2 of 5
A client is hospitalized with signs of transplant rejection following a recent renal transplant. Assessment of the client would be expected to reveal:
Correct Answer: D
Rationale: Rising blood pressure is a sign of renal transplant rejection due to impaired kidney function and fluid retention.
Question 3 of 5
Four 6-month-old children arrive at the clinic for diphtheria-pertussis-tetanus immunization. Which child can safely receive the immunization at this time?
Correct Answer: A
Rationale: A mild runny nose is not a contraindication for the DTaP vaccine, whereas seizures, severe allergic reactions, or fever indicate a need to delay immunization.
Question 4 of 5
A client with chronic obstructive pulmonary disease (COPD) is admitted to the respiratory unit. Which physician prescription should the nurse question?
Correct Answer: A
Rationale: High-flow oxygen (5 L/min) can suppress the hypoxic drive in COPD clients, risking CO2 retention. Low-flow oxygen (1-2 L/min) is safer and should be questioned.
Question 5 of 5
Which one of the following situations represents a maturational crisis for the family?
Correct Answer: A
Rationale: A 4-year-old entering nursery school is a maturational crisis, as it involves a normal developmental transition that can stress family dynamics.