NCLEX-RN
NCLEX-RN Exam Practice Questions
Extract:
Question 1 of 5
A client with a history of asthma is admitted with an acute exacerbation. The nurse should give priority to:
Correct Answer: A
Rationale: Bronchodilators are the first-line treatment for an acute asthma exacerbation to relieve bronchospasm and improve airflow.
Question 2 of 5
The sputum of a client remains positive for the tubercle bacillus even though the client has been taking Laniazid (isoniazid) in combination with other antituberculars. The nurse recognizes that the client taking isoniazid should have a negative sputum culture within:
Correct Answer: D
Rationale: Effective antitubercular therapy, including isoniazid, typically results in a negative sputum culture within three months, indicating control of active infection.
Question 3 of 5
The nurse is developing a plan of care for a client with an electrolyte imbalance and identifies a nursing diagnosis of decreased physical mobility. Which alteration is most likely the etiology?
Correct Answer: C
Rationale: A deficit in sodium concentration results in muscular weakness and lethargy. Muscle fatigue and hypotonia are caused by hypercalcemia. Muscle weakness and fatigue are classic signs of hypokalemia. Hypermagnesemia can cause muscle weakness, paralysis, and coma.
Question 4 of 5
A client has an order to administer cisplatin (Platinol). Which drug would the nurse expect to be ordered to reduce renal toxicity from the cisplatin infusion?
Correct Answer: A
Rationale: Amifostine protects kidneys from cisplatin’s nephrotoxicity by neutralizing free radicals. Dexrazoxane (
B) protects the heart, Mesna (
C) prevents bladder toxicity, and Pamidronate (
D) treats hypercalcemia.
Question 5 of 5
The nurse is caring for a client with a history of bipolar disorder. The nurse should give priority to:
Correct Answer: A
Rationale: Monitoring mood stability is critical in bipolar disorder to assess for manic or depressive episodes.