NCLEX-RN
NCLEX-RN Exam Practice Questions
Extract:
Question 1 of 5
A pregnant client is at the clinic for a third trimester prenatal visit. During this examination, it has been determined that her fetus is in a vertex presentation with the occiput located in her right anterior quadrant. On her chart this would be noted as:
Correct Answer: B
Rationale: The fetus in the right occipitoposterior position would be presenting with the occiput in the maternal right posterior quadrant. Fetal position is defined by the location of the fetal presenting part in the four quadrants of the maternal pelvis. The right occipitoanterior is a fetus presenting with the occiput in mother's right anterior quadrant. The fetus in right sacroanterior position would be presenting a sacrum, not an occiput. The fetus in left occipitoanterior position would be presenting with the occiput in the mother's left anterior quadrant.
Question 2 of 5
The sputum of a client remains positive for the tubercle bacillus even though the client has been taking Laniazid (isoniazid) in combination with other antituberculars. The nurse recognizes that the client taking isoniazid should have a negative sputum culture within:
Correct Answer: D
Rationale: Effective antitubercular therapy, including isoniazid, typically results in a negative sputum culture within three months, indicating control of active infection.
Question 3 of 5
The physician has ordered a low-purine diet for a client with gout. Which protein source is high in purine?
Correct Answer: A
Rationale: Dried beans are high in purines, which can exacerbate gout by increasing uric acid levels, so they should be avoided on a low-purine diet.
Question 4 of 5
A client with a history of sarcoidosis is admitted with complaints of dyspnea. The nurse should give priority to:
Correct Answer: A
Rationale: Sarcoidosis can cause lung granulomas, leading to dyspnea, so monitoring respiratory status is critical to assess lung function.
Question 5 of 5
A 48-year-old male client is hospitalized with mild ascites, bruising, and jaundice. He has a 20-year history of alcohol abuse. The client is diagnosed with cirrhosis. His serum ammonia level is high, indicating hepatic encephalopathy. He has esophageal varices. Which of the following may cause the varices to rupture?
Correct Answer: A
Rationale: Lifting heavy objects will increase intrathoracic pressure, thus placing the client at risk for rupturing esophageal varices.