NCLEX-RN
NCLEX RN Exam Questions Questions
Extract:
Question 1 of 5
A client is admitted with a ruptured spleen following a four-wheeler accident. In preparation for surgery, the nurse suspects that the client is in the compensatory stage of shock because of which clinical manifestation?
Correct Answer: A
Rationale: Compensatory shock involves normal BP (120/70), tachycardia (HR 120), and early neurological changes (confusion). Options B, C, and D indicate progressive or irreversible shock with severe symptoms.
Question 2 of 5
The nurse is caring for a client with a diagnosis of postpartum endometritis. Which medication is most likely to be ordered?
Correct Answer: B
Rationale: Postpartum endometritis is a bacterial infection of the uterus treated with antibiotics (e.g. ampicillin gentamicin). Magnesium sulfate methylergonovine and betamethasone are used for other obstetric conditions.
Question 3 of 5
A client with diabetes asks the nurse for advice regarding methods of birth control. Which method of birth control is most suitable for the client with diabetes?
Correct Answer: A
Rationale: An intrauterine device (IU
D) is safe and effective for women with diabetes as it does not affect glucose metabolism. Oral contraceptives may worsen glycemic control and diaphragms/sponges require spermicides that increase infection risk in diabetics.
Question 4 of 5
The nurse is caring for a client with an endemic goiter. The nurse recognizes that the client's condition is related to:
Correct Answer: A
Rationale: Endemic goiter results from iodine deficiency, often in areas with iodine-depleted soil, leading to insufficient thyroid hormone production.
Question 5 of 5
When inspecting a cardiovascular client, the nurse notes that he needs to sit upright to breathe. This behavior is most indicative of:
Correct Answer: C
Rationale: Pericarditis can cause dyspnea but primarily causes chest pain. Anxiety can cause dyspnea resulting in SOB, yet it is not typically influenced by degree of head elevation. The inability to oxygenate well without being upright is most indicative of congestive heart failure, due to alveolar drowning. Angina causes primarily chest pain; any SOB associated with angina is not influenced by body position.