NCLEX-RN
NCLEX-RN Exam Questions
Extract:
Question 1 of 5
A type I diabetic client delivers a male newborn. The newborn is 45 minutes old. What is the primary nursing goal in the nursery during the first hours for this newborn?
Correct Answer: B
Rationale: The infant will be at risk for hypoglycemia because of excess insulin production.
Question 2 of 5
A client with AIDS has a viral load of 200 copies per mL. The nurse should interpret this finding as:
Correct Answer: C
Rationale: A viral load of 200 copies per mL is very low indicating effective antiretroviral therapy and minimal circulating virus. It does not directly assess opportunistic disease risk communicability or T-cell count.
Question 3 of 5
A client with a history of epilepsy is admitted with complaints of aura. The nurse should give priority to:
Correct Answer: A
Rationale: An aura signals an impending seizure, so ensuring safety (e.g., padding, side-lying position) is the priority.
Question 4 of 5
The nurse is assessing a client with suspected hyperthyroidism. Which finding is most consistent with this diagnosis?
Correct Answer: C
Rationale: Tremors are a common sign of hyperthyroidism due to increased metabolic rate and sympathetic activity. Weight gain, bradycardia, and constipation are more typical of hypothyroidism.
Question 5 of 5
A client has a chest tube placed in his left pleural space to re-expand his collapsed lung. In a closed-chest drainage system, the purpose of the water seal is to:
Correct Answer: A
Rationale: The water seal prevents air from entering the pleural space, maintaining negative pressure for lung re-expansion.