NCLEX-RN
NCLEX RN Practice Questions
Extract:
Question 1 of 5
A trauma client is admitted to the emergency room following a motor vehicle accident. Examination reveals that the left side of the chest moves inward when the client inhales. The finding is suggestive of:
Correct Answer: D
Rationale: Inward chest movement on inhalation indicates flail chest, where multiple rib fractures cause a segment of the chest wall to move independently.
Question 2 of 5
The nurse is discussing cigarette smoking with an emphysema client. The client states, 'I don't know why I should worry about cancer.' The nurse's response is based on the fact that the most important reason for a client with emphysema to avoid smoking is that it:
Correct Answer: C
Rationale: Smoking destroys lung parenchyma in emphysema, worsening alveolar damage and impairing gas exchange, making it the primary reason to avoid smoking.
Question 3 of 5
The physician has ordered Eskalith (lithium carbonate) 500 mg three times a day and Risperdal (risperidone) 2 mg twice daily for a client admitted with bipolar disorder, acute manic episodes. The best explanation for the client's medication regimen is:
Correct Answer: B
Rationale: Risperidone controls acute manic symptoms like agitation, while lithium stabilizes mood over time, a common combination for bipolar mania.
Question 4 of 5
The physician has ordered lab work for a client with suspected disseminated intravascular coagulation (DIC). Which lab finding would provide a definitive diagnosis of DIC?
Correct Answer: C
Rationale: Fibrin split products (FSPs) are specific to DIC, indicating widespread clotting and fibrinolysis, confirming the diagnosis.
Question 5 of 5
The nurse is caring for the client receiving Amphotericin B. Which of the following indicates that the client has experienced toxicity to this drug?
Correct Answer: B
Rationale: Nausea is a common sign of amphotericin B toxicity, often accompanied by fever and chills.