NCLEX-RN
NCLEX-RN Exam Practice Questions
Extract:
Question 1 of 5
The chart of a client with schizophrenia states that the client has echolalia. The nurse can expect the client to:
Correct Answer: B
Rationale: Echolalia in schizophrenia involves repeating words or phrases spoken by others, reflecting impaired communication. Rhyming, irrelevant details, or neologisms are different symptoms.
Question 2 of 5
A 66-year-old female client has smoked 2 packs of cigarettes per day for 20 years. Her arterial blood gases on room air are as follows: pH 7.35; PO2 70 mm Hg; PCO2 55 mm Hg; HCO3 32 mEq/L. These blood gases reflect:
Correct Answer: B
Rationale: Normal pH with elevated PCO2 and HCO3 indicates compensated respiratory acidosis, common in chronic smokers due to CO2 retention.
Question 3 of 5
A client with a history of asthma is admitted with an acute exacerbation. The nurse should give priority to:
Correct Answer: A
Rationale: Bronchodilators are the first-line treatment for an acute asthma exacerbation to relieve bronchospasm and improve airflow.
Question 4 of 5
A client with a history of diverticulitis complains of abdominal pain, fever, and diarrhea. Which food is most likely responsible for the client's symptoms?
Correct Answer: D
Rationale: Whole-grain cereal, high in fiber and seeds, can irritate diverticulitis, causing pain, fever, and diarrhea. Low-fiber foods like potatoes, carrots, and fish are less likely to trigger symptoms.
Question 5 of 5
A child is to receive atropine 0.15 mg (1/400 g) as part of his preoperative medication. A vial containing atropine 0.4 mg (1/150 g)/mL is on hand. How much atropine should be given?
Correct Answer: B
Rationale: The answer is correct. 0.4 mg = 1 mL : 0.15 mg = x mL, 0.4x = 0.15, x = 0.15 / 0.4, x = 0.375 or 0.38 mL. Sufficient information is provided to determine the amount of atropine to administer. The amount of atropine available and the amount of atropine ordered is required to determine the amount of atropine to be given.