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NCLEX-RN Exam Practice Questions

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Question 1 of 5

A 66-year-old female client has smoked 2 packs of cigarettes per day for 20 years. Her arterial blood gases on room air are as follows: pH 7.35; PO2 70 mm Hg; PCO2 55 mm Hg; HCO3 32 mEq/L. These blood gases reflect:

Correct Answer: B

Rationale: Normal pH with elevated PCO2 and HCO3 indicates compensated respiratory acidosis, common in chronic smokers due to CO2 retention.

Question 2 of 5

A client's behavior is annoying other clients on the unit. He is meddling with their belongings and dominating the group. The best approach by the nurse is to:

Correct Answer: B

Rationale: Consistent limit setting will help the client to know what is acceptable behavior, addressing the disruptive actions effectively.

Question 3 of 5

The nurse is assigning staff to care for a number of clients with emotional disorders. Which facet of care is suitable to the skills of the nursing assistant?

Correct Answer: B

Rationale: Providing routine catheter care is within the scope of a nursing assistant, as it involves basic hygiene tasks, unlike the other options, which require advanced assessment or monitoring.

Question 4 of 5

Which classification of drugs is contraindicated for the client with hypertrophic cardiomyopathy?

Correct Answer: A

Rationale: Positive inotropic agents should not be administered owing to their action of increasing myocardial contractility. Increased ventricular contractility would increase outflow tract obstruction in the client with hypertrophic cardiomyopathy. Vasodilators are not typically prescribed but are not contraindicated. Diuretics are used with caution to avoid causing hypovolemia. Antidysrhythmics are typically needed to treat both atrial and ventricular dysrhythmias.

Question 5 of 5

A client with type 2 diabetes is prescribed metformin (Glucophage). Which statement by the client indicates a need for further teaching?

Correct Answer: C

Rationale: Stopping metformin abruptly (
C) can worsen glycemic control, indicating a need for further teaching. Taking with meals (
A), monitoring sugar (
B), and reporting muscle pain (
D) are correct.

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