NCLEX-RN
NCLEX-RN Exam Practice Questions
Extract:
Question 1 of 5
A client with a history of polycystic kidney disease has an order for an indwelling catheter. The nurse should give priority to:
Correct Answer: A
Rationale: Sterile technique during catheter insertion is critical in polycystic kidney disease to prevent urinary tract infections, which can worsen renal function. Bag position and clamping are secondary.
Question 2 of 5
A client presents to the emergency room with cyanosis, coughing, tachypnea, and tachycardia. She has a history of asthma. Arterial blood gas values are pH 7.28, PaO2 54, PaCO2 60, and HCO3 24. The nursing assessment of arterial blood gases indicate the presence of:
Correct Answer: B
Rationale: Respiratory acidosis is determined by low pH and elevated PaCO2.
Question 3 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 4 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.
Question 5 of 5
In healthcare settings, nurses must be familiar with primary, secondary, and tertiary levels of care. As a nurse in the community, which of the following interventions might be a primary prevention strategy?
Correct Answer: C
Rationale: Reducing the incidence of disease through education supports primary prevention.