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NCLEX-RN Exam Practice Questions

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Question 1 of 5

A client with type 2 diabetes is prescribed metformin (Glucophage). Which statement by the client indicates a need for further teaching?

Correct Answer: C

Rationale: Stopping metformin abruptly (
C) can worsen glycemic control, indicating a need for further teaching. Taking with meals (
A), monitoring sugar (
B), and reporting muscle pain (
D) are correct.

Question 2 of 5

A 30-year-old client has a history of several recent traumatic experiences. She presents at the physician's office with a complaint of blindness. Physical exam and diagnostic testing reveal no organic cause. The nurse recognizes this as:

Correct Answer: D

Rationale: Conversion disorder involves sensory or motor symptoms, like blindness, without an organic cause, often linked to psychological stress.

Question 3 of 5

Based on your knowledge of genetic inheritance, which of these statements is true for autosomal recessive genetic disorders?

Correct Answer: D

Rationale: If both parents are affected by the disorder and are not just carriers, then all their children would manifest the same disorder.

Question 4 of 5

A 66-year-old female client has smoked 2 packs of cigarettes per day for 20 years. Her arterial blood gases on room air are as follows: pH 7.35; PO2 70 mm Hg; PCO2 55 mm Hg; HCO3 32 mEq/L. These blood gases reflect:

Correct Answer: B

Rationale: Normal pH with elevated PCO2 and HCO3 indicates compensated respiratory acidosis, common in chronic smokers due to CO2 retention.

Question 5 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.

Similar Questions

A 27-year-old male client is admitted to the acute care mental health unit for observation. He has recently lost his job, and his wife told him yesterday that she wants a divorce. The client is placed on suicide precautions. In assessing suicide potential, the nurse should pay close attention to the client's:
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?
On admission to the inpatient unit, a 34-year-old client is able to follow simple directions, but with great difficulty. He is worried about how he can keep clean in such a public place and repeatedly dusts his bureau, straightens his bed, and adjusts the clothes in his closet. The client is experiencing a severe level of anxiety. Which response by the nurse would be most therapeutic in initially attempting to reduce his anxiety?
The client is admitted with a diagnosis of gestational trophoblastic disease. Which diagnostic test is most likely to be ordered?
The nurse is teaching a client with a history of allergic rhinitis about self-care. The nurse should tell the client to:

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