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NCLEX-RN Exam Practice Questions

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Question 1 of 5

A client with a history of gout is admitted with complaints of joint pain. The nurse should give priority to:

Correct Answer: A

Rationale: Anti-inflammatories (e.g., NSAIDs) relieve joint pain and inflammation in gout flares.

Question 2 of 5

The nurse is caring for a client with a history of a pneumothorax who has a chest tube. The nurse should:

Correct Answer: D

Rationale: Subcutaneous emphysema (air under the skin) indicates chest tube malfunction or air leak, requiring monitoring. Clamping, raising the system, and stripping are contraindicated.

Question 3 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 4 of 5

A client with thrombocytopenic purpura is being treated with Neumega (oprelvekin). Which of the following indicates a favorable response to the medication?

Question Image

Correct Answer: A

Rationale: Neumega (oprelvekin) stimulates platelet production. A platelet count of 150 000/cu.mm indicates a favorable response as it is within the normal range (150 000-450 000/cu.mm). The other options reflect white blood cell or red blood cell indices not platelet counts.

Question 5 of 5

A client with a fractured leg is exhibiting shortness of breath, pain upon deep breathing, and hemoptysis. What do these clinical manifestations indicate to the nurse?

Correct Answer: B

Rationale: Shortness of breath, pleuritic pain, and hemoptysis are classic signs of pulmonary embolus, often associated with immobility from a fracture. CHF (
A) causes edema, ARDS (
C) causes diffuse respiratory failure, and tension pneumothorax (
D) causes tracheal deviation.

Similar Questions

A client with type 2 diabetes is prescribed metformin (Glucophage). Which statement by the client indicates a need for further teaching?
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?
A 22-year-old client who is being seen in the clinic for a possible asthma attack stops wheezing suddenly as the nurse is doing a lung assessment. Which one of the following nursing interventions is most important?
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:
A client diagnosed with severe anemia is to receive 2 U of packed red blood cells. Prior to starting the blood transfusion, the nurse must:

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