NCLEX-RN
NCLEX-RN Exam Practice Questions
Extract:
Question 1 of 5
The client at 36 weeks gestation is admitted with painless vaginal bleeding. The nurse should suspect which of the following conditions?
Correct Answer: B
Rationale: Placenta previa typically presents with painless vaginal bleeding in the third trimester as the placenta covers the cervix. Abruptio placenta causes painful bleeding premenstrual syndrome is unrelated to pregnancy and cord prolapse involves fetal distress not bleeding.
Question 2 of 5
The nurse is educating the caregiver of a client with dysphagia, due to a stroke, in ways to ensure safety and avoid aspiration during meals. Which information should be included?
Correct Answer: A, B, D
Rationale:
To prevent aspiration: sit upright (
A), place food on unaffected side (
B), and swallow one bite at a time (
D). Solid foods (
C) may increase risk; thickened liquids (E) are safer.
Question 3 of 5
A 55-year-old man has recently been diagnosed with hypertension. His physician orders a low-sodium diet for him. When he asks, 'What does salt have to do with high blood pressure?' the nurse's initial response would be:
Correct Answer: B
Rationale: Excess salt causes fluid retention, increasing blood volume and thus blood pressure.
Question 4 of 5
A 33-year-old client is diagnosed with bipolar disorder, acute phase. This is her first psychiatric hospitalization, and she is being evaluated for treatment with lithium. Which of the following diagnostic tests are essential prior to the initiation of lithium therapy with this client?
Correct Answer: B
Rationale: These are general diagnostic blood studies (usually done on admission), but they are not reliable indicators of lithium therapy clearance. These are the primary diagnostic tests to determine kidney functioning. Because lithium is excreted through the kidneys and because it can be very toxic, adequate renal function must be ascertained before therapy begins. These are diagnostic blood tests used to determine the presence of endocrine (not renal) dysfunction. These are other types of diagnostic procedures used to determine musculoskeletal, neural, and cardiac (rather than renal) functioning.
Question 5 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.