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NCLEX-RN Exam Practice Questions

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Question 1 of 5

A client with chronic kidney disease is receiving epoetin alfa (Epogen). Which laboratory value indicates the medication is effective?

Correct Answer: A

Rationale: Epoetin alfa stimulates red blood cell production. A hemoglobin of 12 g/dL (
A) indicates effectiveness. Creatinine (
B), potassium (
C), and WBC (
D) are not directly affected.

Question 2 of 5

The nurse is caring for a patient with suspected diverticulitis. The nurse would be most prudent in questioning an order for which of the following diagnostic tests?

Correct Answer: B

Rationale: A barium enema is contraindicated in suspected diverticulitis due to the risk of perforation and peritonitis. Ultrasound, CT scans, and CBC are appropriate for diagnosing diverticulitis or assessing complications.

Question 3 of 5

Which of the following factors affects the accuracy of pulse oximetry readings?

Question Image

Correct Answer: A, B, C

Rationale: Pulse oximetry accuracy is reduced by poor circulation (
A), improper probe placement (
B), and bright lighting (
C). Dark skin (
D) has minimal impact with modern sensors.

Question 4 of 5

The physician has ordered Amoxil (amoxicillin) 500mg capsules for a client with esophageal varices. The nurse can best care for the client's needs by:

Correct Answer: D

Rationale: Clients with esophageal varices are at risk for bleeding, and swallowing capsules can irritate or rupture varices. Requesting a liquid or IV form of amoxicillin is safer.

Question 5 of 5

A 3-year-old female client is brought into the pediatric clinic because she limps. She has not been to the clinic since she was 9 months old. The nurse practitioner describes the limp as a 'Trendelenburg gait.' This gait is characteristic of:

Correct Answer: B

Rationale: (A, C,
D) A Trendelenburg gait is not characteristic of any of these disorders. The downward slant of one hip is a positive sign of dislocation in the weight-bearing hip. If one hip is dislocated, the child walks with a characteristic limp known as the Trendelenburg gait.

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