NCLEX-RN
NCLEX RN Practice Test Questions
Extract:
Question 1 of 5
A client with diabetes insipidus is receiving DDAVP (desmopressin acetate). Which lab finding indicates that the medication is having its intended effect?
Correct Answer: B
Rationale: Desmopressin increases water reabsorption, concentrating urine; a urine specific gravity of 1.020 indicates effective treatment.
Question 2 of 5
The primary physiological alteration in the development of asthma is:
Correct Answer: D
Rationale: Bronchiolar smooth muscle spasm is the primary physiological alteration in asthma, leading to airway narrowing.
Question 3 of 5
The physician's notes state that a client with cocaine addiction has formication. The nurse recognizes that the client has:
Correct Answer: A
Rationale: Formication is a tactile hallucination, often described as feeling bugs crawling on the skin, commonly associated with cocaine use.
Question 4 of 5
A client with a C4 spinal cord injury has been placed in traction with cervical tongs. Nursing care should include:
Correct Answer: D
Rationale: Sterile pin care is essential to prevent infection at the site of cervical tongs, while altering traction or bed position could compromise spinal alignment.
Question 5 of 5
An infant's Apgar score is 9 at 5 minutes. The most likely cause for the deduction of one point is:
Correct Answer: C
Rationale: Blue hands and feet (acrocyanosis) are common in newborns and likely cause a 1-point deduction in the appearance category of the Apgar score.