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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

The nurse is planning room assignments for the day. Which client should be assigned to a private room if only one is available?

Correct Answer: A

Rationale: MRSA (methicillin-resistant Staphylococcus aureus) requires contact precautions and a private room to prevent transmission. Diabetes pancreatitis and Addison’s disease do not require isolation unless other infectious conditions are present.

Question 3 of 5

A client with a history of gout is admitted with complaints of joint pain. The nurse should give priority to:

Correct Answer: A

Rationale: Anti-inflammatories (e.g., NSAIDs) relieve joint pain and inflammation in gout flares.

Question 4 of 5

A client's admission history reveals complaints of fatigue, chronic sore throat, and enlarged lymph nodes in the axilla and neck.

Correct Answer: A

Rationale: A complete blood count (CB
C) detects abnormal white blood cell counts, supporting a leukemia diagnosis. Chest x-ray (
B), bone marrow aspiration (
C), and CT scan (
D) are confirmatory but not initial tests.

Question 5 of 5

The nurse is teaching a client with a history of allergic rhinitis about self-care. The nurse should tell the client to:

Correct Answer: A

Rationale: Avoiding allergens reduces symptoms in allergic rhinitis, such as sneezing and nasal congestion.

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A 3-year-old child is hospitalized with burns covering her trunk and lower extremities. Which of the following would the nurse use to assess adequacy of fluid resuscitation in the burned child?
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