NCLEX-RN
NCLEX RN Practice Questions with Answers Questions
Extract:
Question 1 of 5
A client with a history of chronic obstructive pulmonary disease (COPD) is prescribed prednisone. The nurse should monitor the client for which of the following adverse effects?
Correct Answer: A
Rationale: Prednisone can cause hyperglycemia, requiring blood glucose monitoring.
Question 2 of 5
The 2nd priority needs according to the MAAUAR method of priority setting include which of the following?
Correct Answer: D
Rationale: The MAAUAR method prioritizes: Mental status, Acute pain, Acute eliminated needs, Urgent needs, Abnormal vital signs, Risks. The second priority is Acute pain, but among the options, Risks aligns as a high-priority need following initial physiological concerns.
Question 3 of 5
A client whose condition remains stable after a myocardial infarction gradually increases his activity. Which of the following conditions should the nurse assess to determine whether the activity is appropriate for the client?
Correct Answer: C
Rationale: Dyspnea indicates inadequate oxygenation, suggesting the activity level may be too strenuous for the client's cardiac capacity post-myocardial infarction.
Question 4 of 5
Which of the following compensatory actions by the body would occur if a client were in respiratory acidosis?
Correct Answer: B, C
Rationale: In respiratory acidosis, the body compensates by retaining bicarbonate (HCO₃⁻) in the kidneys and increasing respiratory rate to eliminate excess CO2.
Question 5 of 5
A newborn infant receives the first dose of hepatitis B vaccine within 12 hours of birth. The nurse instructs the parent regarding the immunization schedule for this vaccine and should tell the parent that the second vaccine is administered at which time periods?
Correct Answer: D
Rationale: The vaccination schedule for an infant whose mother tests negative for hepatitis B consists of a series of 3 immunizations given at 0 months (birth), 1 to 2 months of age, and then 6 months after the initial dose. An infant whose mother tests positive receives hepatitis B immune globulin along with the first dose of the hepatitis vaccine within 12 hours of birth.