NCLEX-RN
NCLEX-RN Exam Practice Questions
Extract:
Question 1 of 5
A client is admitted with acute adrenal crisis. During the intake assessment, the nurse can expect to find that the client has:
Correct Answer: A
Rationale: Acute adrenal crisis (Addisonian crisis) causes hypotension due to cortisol and aldosterone deficiency, leading to shock. Pulse is typically rapid, skin is cool, and urination decreases.
Question 2 of 5
A client has been instructed in how to take her nitroglycerin tablets. The nurse giving her instructions knows the client understands the information when she tells her:
Correct Answer: C
Rationale: Headaches may occur after taking nitroglycerin because of vasodilation. The tablets do not need to be refrigerated. The client should carry them with her. The client should contact the physician if repeated doses of nitroglycerin do not relieve the discomfort. Nitroglycerin tablets should be dissolved under the tongue, not swallowed.
Question 3 of 5
The nurse is caring for a client with a history of a mastectomy who is receiving chemotherapy. The nurse should monitor the client for:
Correct Answer: A
Rationale: Chemotherapy commonly causes nausea and vomiting, requiring monitoring and antiemetic therapy. Hypertension, weight gain, and fever are less immediate concerns.
Question 4 of 5
A client with a history of a kidney transplant is receiving Prednisone. The nurse should monitor the client for:
Correct Answer: A
Rationale: Prednisone, a corticosteroid, suppresses immunity, increasing infection risk. Hypotension, hyperkalemia, and weight loss are not primary concerns; weight gain is more common.
Question 5 of 5
On admission to the inpatient unit, a 34-year-old client is able to follow simple directions, but with great difficulty. He is worried about how he can keep clean in such a public place and repeatedly dusts his bureau, straightens his bed, and adjusts the clothes in his closet. The client is experiencing a severe level of anxiety. Which response by the nurse would be most therapeutic in initially attempting to reduce his anxiety?
Correct Answer: B
Rationale: Acknowledging the anxiety and channeling it into some positive activity, such as a unit tour, is therapeutic and helps reduce anxiety by providing distraction and orientation.