NCLEX-RN
NCLEX-RN Exam Practice Questions
Extract:
Question 1 of 5
A client presents to the emergency room with cyanosis, coughing, tachypnea, and tachycardia. She has a history of asthma. Arterial blood gas values are pH 7.28, PaO2 54, PaCO2 60, and HCO3 24. The nursing assessment of arterial blood gases indicate the presence of:
Correct Answer: B
Rationale: Respiratory acidosis is determined by low pH and elevated PaCO2.
Question 2 of 5
The nurse is preparing to administer a dose of nitroglycerin sublingual to a client with chest pain. Which instruction should be given to the client?
Correct Answer: B
Rationale: Nitroglycerin sublingual tablets are placed under the tongue to dissolve, allowing rapid absorption to relieve angina. Swallowing, chewing, or taking with milk reduces effectiveness or delays onset.
Question 3 of 5
Following a fracture of the left femur, a client develops symptoms of osteomyelitis. During the acute phase of osteomyelitis, nursing care is directed toward:
Correct Answer: A
Rationale: Any movement of the affected limb will cause discomfort to the child, so careful handling is essential during the acute phase.
Question 4 of 5
The nurse provides a male client with diet teaching so that he can help prevent constipation in the future. Which food choices indicate that this teaching has been understood?
Correct Answer: D
Rationale: Oatmeal and fresh fruit provide fiber and bulk, which help prevent constipation. The other options lack sufficient fiber.
Question 5 of 5
A pregnant client is at the clinic for a third trimester prenatal visit. During this examination, it has been determined that her fetus is in a vertex presentation with the occiput located in her right anterior quadrant. On her chart this would be noted as:
Correct Answer: B
Rationale: The fetus in the right occipitoposterior position would be presenting with the occiput in the maternal right posterior quadrant. Fetal position is defined by the location of the fetal presenting part in the four quadrants of the maternal pelvis. The right occipitoanterior is a fetus presenting with the occiput in mother's right anterior quadrant. The fetus in right sacroanterior position would be presenting a sacrum, not an occiput. The fetus in left occipitoanterior position would be presenting with the occiput in the mother's left anterior quadrant.