NCLEX-RN
NCLEX-RN Exam Practice Questions
Extract:
Question 1 of 5
A two-month-old infant has just received her first Tetramune injection. The nurse should tell the mother that the immunization:
Correct Answer: C
Rationale: Tetramune protects against diphtheria, pertussis, tetanus, and H. influenzae b and is part of a series given at 2, 4, 6, and 15-18 months. It does not test susceptibility or cover MMRV.
Question 2 of 5
The client is scheduled for a cardiac CTA. Prior to the cardiac CTA, the nurse should do which of the following?
Correct Answer: A, B, C
Rationale: Cardiac CTA involves contrast dye, so checking creatinine (
A) assesses kidney function to prevent contrast-induced nephropathy. Shellfish allergies (
B) may indicate iodine sensitivity. Consent (
C) is required for invasive procedures. Hearing issues (
D) and water intake (E) are less critical.
Question 3 of 5
The nurse is assessing a client with suspected hypovolemic shock. Which finding is most indicative?
Correct Answer: A
Rationale: Tachycardia is a hallmark of hypovolemic shock, compensating for reduced blood volume. Hypothermia (
B) is secondary, bradypnea (
C) is atypical, and hypertension (
D) is not associated.
Question 4 of 5
A client presents to the emergency room with cyanosis, coughing, tachypnea, and tachycardia. She has a history of asthma. Arterial blood gas values are pH 7.28, PaO2 54, PaCO2 60, and HCO3 24. The nursing assessment of arterial blood gases indicate the presence of:
Correct Answer: B
Rationale: Respiratory acidosis is determined by low pH and elevated PaCO2.
Question 5 of 5
The nurse is assessing a client with suspected hypoglycemia. Which finding is most consistent with this condition?
Correct Answer: A
Rationale: Hypoglycemia causes sympathetic activation, leading to tremors and sweating as the body attempts to raise glucose levels. Chest pain, fever, and bradycardia are not typical.