NCLEX-RN
NCLEX RN High-Yield Questions Questions
Extract:
Question 1 of 5
A client’s arterial blood gas values are as follows: These findings indicate which of the following acidbase imbalances?
Correct Answer: A
Rationale: The pH of 7.24 indicates that the client is acidotic. The carbon dioxide level is normal, but the HCO3 level is decreased. These findings indicate that the client is in metabolic acidosis.
Question 2 of 5
A multigravid client is scheduled for a percutaneous umbilical blood sampling procedure. The nurse instructs the client that this procedure is useful for diagnosing which of the following?
Correct Answer: C
Rationale: Percutaneous umbilical blood sampling is used to diagnose fetal conditions like Rh disease by directly sampling fetal blood for analysis.
Question 3 of 5
A client with a history of stroke is prescribed ticlopidine (Ticlid). The nurse should monitor the client for which of the following side effects?
Correct Answer: A
Rationale: Ticlopidine, an antiplatelet medication, increases the risk of bleeding, which the nurse should monitor.
Question 4 of 5
The nurse is caring for a client who has experienced severe multiple trauma. The client's arterial blood gases reveal low arterial oxygen levels that are not responsive to high concentrations of oxygen. The nurse is aware that this finding is a major indicator of the development of which of the following conditions?
Correct Answer: C
Rationale: Low arterial oxygen levels unresponsive to high oxygen concentrations are indicative of ARDS, often seen in severe trauma due to lung injury. Pneumonia, shock, and asthma present differently.
Question 5 of 5
The nurse in a rehabilitation center is planning the client assignments for the day. Which client has needs that can be most safely met by the unlicensed assistive personnel (UAP)?
Correct Answer: A
Rationale: The nurse must assign tasks based on the guidelines of nursing practice acts and the job description of the employing agency. Unlicensed assistive personnel are trained to care for the client on bed rest and to maintain 24-hour urine collections. The nurse should provide instructions to unlicensed assistive personnel regarding the tasks, but the tasks required for this client are within the role description of unlicensed assistive personnel. A client scheduled to be transferred to the hospital for coronary artery bypass surgery, a client scheduled for an invasive diagnostic procedure, and a client who had a BKA have both physiological and psychosocial needs.