NCLEX-RN
NCLEX-RN Exam Practice Questions
Extract:
Question 1 of 5
A client is being discharged after lithotripsy for removal of a kidney stone. Which statement by the client indicates understanding of the nurse's instructions?
Correct Answer: C
Rationale: Straining urine and saving stone fragments post-lithotripsy allows analysis and confirms stone passage. Starting in the morning (
A) is incorrect, saving all urine (
B) is unnecessary, and not straining (
D) misses stone collection.
Question 2 of 5
The client is admitted with a diagnosis of gestational trophoblastic disease. Which vital sign change is most likely to be observed?
Correct Answer: A
Rationale: Gestational trophoblastic disease can cause maternal tachycardia due to elevated hCG or bleeding. Fetal bradycardia is not relevant (no viable fetus) and hypotension is less common unless hemorrhage occurs.
Question 3 of 5
While caring for an elderly patient with hypertension, the nurse notes the following vital signs: BP of 140/40, pulse 120, respirations 36. The nurse's initial action should be to:
Correct Answer: A
Rationale: The vital signs indicate a wide pulse pressure (140/40), tachycardia (pulse 120), and tachypnea (respirations 36), suggesting possible cardiovascular or respiratory distress. The nurse should report these findings to the physician immediately for further evaluation, as they may indicate a serious condition like heart failure or shock.
Question 4 of 5
A client is being discharged after lithotripsy for removal of a kidney stone. Which statement by the client indicates understanding of the nurse's instructions?
Correct Answer: C
Rationale: Straining urine and saving stone fragments post-lithotripsy allows analysis and confirms stone passage. Starting in the morning (
A) is incorrect, saving all urine (
B) is unnecessary, and not straining (
D) misses stone collection.
Question 5 of 5
A client has been diagnosed with congestive heart failure. His fluid intake and output are strictly regulated. For lunch, he drank 8 oz of milk, 4 oz of tea, and 6 oz of coffee. His intake would be recorded as:
Correct Answer: B
Rationale: 1 oz = 30 mL; therefore, 18 oz = 540 mL.