NCLEX-RN
RN NCLEX Practice Test Questions
Extract:
Question 1 of 5
A client with a history of Addison's disease is admitted with complaints of nausea and vomiting. The nurse should expect the client to have:
Correct Answer: A
Rationale: Addison's disease causes adrenal insufficiency, reducing aldosterone, which leads to hyperkalemia due to impaired potassium excretion.
Question 2 of 5
A client with a history of chronic migraines is admitted with complaints of headache. The nurse should give priority to:
Correct Answer: C
Rationale: A quiet environment reduces sensory stimuli, which can exacerbate migraines, making it a priority to promote comfort.
Question 3 of 5
Which diet would the nurse expect to see ordered for a patient with nephrotic syndrome?
Correct Answer: B
Rationale: Nephrotic syndrome causes proteinuria, leading to hypoalbuminemia. A moderate protein diet (0.8–1 g/kg/day) helps replace lost protein without overloading the kidneys. Low carbohydrate, low calcium, or increased potassium diets are not specific to nephrotic syndrome.
Question 4 of 5
The nurse is teaching a client with a history of gout about dietary modifications. The nurse should tell the client to avoid:
Correct Answer: B
Rationale: Organ meats are high in purines, which increase uric acid levels, exacerbating gout, so they should be avoided.
Question 5 of 5
The client is receiving a continuous heparin infusion. Which laboratory value should the nurse monitor most closely?
Correct Answer: C
Rationale: Heparin’s anticoagulant effect is monitored by aPTT, with a therapeutic range of 1.5–2.5 times the control value. Platelet count is monitored for heparin-induced thrombocytopenia, but PT and INR are for warfarin.