NCLEX-RN
Mock NCLEX RN Exam Questions
Extract:
Question 1 of 5
In assessing cardiovascular clients with progression of aortic stenosis, the nurse should be aware that there is typically:
Correct Answer: D
Rationale: These signs are seen in pulmonic stenosis or in response to pulmonary congestion and edema and mitral stenosis. These signs are seen primarily in mitral stenosis or as a late sign in aortic stenosis after left ventricular failure. These signs are seen primarily in right-sided heart valve dysfunction. Left ventricular hypertrophy occurs to increase muscle mass and overcome the stenosis; left ventricular pressures increase as left ventricular volume increases owing to insufficient emptying.
Question 2 of 5
A client with a history of a hiatal hernia is being discharged. The nurse should teach the client to:
Correct Answer: C
Rationale: Carbonated beverages increase gastric pressure, worsening hiatal hernia symptoms. Sleeping upright, small meals, and avoiding lying down post-meals are also recommended.
Question 3 of 5
Which clients can be assigned to share a room in the emergency department during a disaster?
Correct Answer: B
Rationale: A pregnant client and a client with a fractured arm have stable non-infectious conditions suitable for sharing a room. The other pairs include clients with unstable (cyanosis abdominal wound chest pain) or infectious (MRS
A) conditions or psychiatric issues requiring isolation.
Question 4 of 5
Which of the following would the nurse expect to find following respiratory assessment of a client with advanced emphysema?
Correct Answer: A
Rationale: Distant breath sounds are characteristic of emphysema due to increased anteroposterior chest diameter, overdistention, and air trapping.
Question 5 of 5
Prior to administering digoxin to a client with congestive heart failure, the nurse needs to assess:
Correct Answer: D
Rationale: Apical pulse should be measured for 1-minute prior to digoxin administration. Digoxin decreases the heart rate. Digoxin should be withheld if apical rates are <60 bpm or >120 bpm.