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NCLEX RN Nursing Exam Questions

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Question 1 of 5

A diagnosis of hepatitis C is confirmed by a male client's physician. The nurse should be knowledgeable of the differences between hepatitis A, B, and C. Which of the following are characteristics of hepatitis C?

Correct Answer: C

Rationale: Hepatitis C has an incubation period of 2-26 weeks. It has a high potential for chronic liver disease, an insidious onset, and no effective vaccine, unlike hepatitis B.

Question 2 of 5

The nurse is performing an admission history for a client recovering from a stroke. Medication history reveals the drug clopidogrel (Plavix). Which clinical manifestation alerts the nurse to an adverse effect of this drug?

Correct Answer: A

Rationale: Clopidogrel, an antiplatelet, increases bleeding risk. Epistaxis (nosebleed) is a significant adverse effect. Hypothermia (
B), nausea (
C), and hyperactivity (
D) are not associated with clopidogrel.

Question 3 of 5

The nurse is reviewing the results of a sweat test taken from a child with cystic fibrosis. Which finding supports the client's diagnosis?

Correct Answer: B

Rationale: A sweat chloride concentration >60 mEq/L is diagnostic for cystic fibrosis due to defective chloride channels. Potassium levels are not diagnostic, and low chloride is normal.

Question 4 of 5

Which of the following nursing interventions has the highest priority for the client scheduled for an intravenous pyelogram?

Correct Answer: B

Rationale: Intravenous pyelogram uses iodine-based contrast, which can cause allergic reactions, especially in clients with shellfish/iodine allergies. Identifying allergies is the highest priority for safety.

Question 5 of 5

To facilitate maximum air exchange, the nurse should position the client in:

Correct Answer: B

Rationale: The orthopneic position is a sitting position that allows maximum lung expansion.

Similar Questions

The physician has diagnosed a client with cirrhosis characterized by asterixis. If the nurse assesses the client with asterixis, he can expect to find:
A mother continues to breast-feed her 3-month-old infant. She tells the nurse that over the past 3 days she has not been producing enough milk to satisfy the infant. The nurse advises the mother to do which of the following?
The nurse is caring for a client with a history of Raynaud’s disease. The nurse should expect the client to have:
A 10-year-old client with a pin in the right femur is immobilized in traction. He is exhibiting behavioral changes including restlessness, difficulty with problem solving, inability to concentrate on activities, and monotony. Which of the following nursing implementations would be most effective in helping him cope with immobility?
A male client was diagnosed 6 months ago with amyotrophic lateral sclerosis (ALS). The progression of the disease has been aggressive. He is unable to maintain his personal hygiene without assistance. Ambulation is most difficult, requiring him to use a wheelchair and rely on assistance for mobility. He recently has become severely dysphasic. Nursing interventions for dysphasia would be aimed toward prevention of:

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