NCLEX-RN
NCLEX RN Nursing Exam Questions
Extract:
Question 1 of 5
The client is admitted with a possible myocardial infarction. The nurse would anticipate an order from the physician for which laboratory test?
Correct Answer: A, C, D
Rationale: Creatine kinase (
A), myoglobin (
C), and troponin T (
D) are cardiac biomarkers elevated in myocardial infarction. Ammonia (
B), gamma-glutamyl transferase (E), and bilirubin (F) are unrelated to acute cardiac events.
Question 2 of 5
A 55-year-old client is admitted with a diagnosis of renal calculi. He presented with severe right flank pain, nausea, and vomiting. The most important nursing action for him at this time is:
Correct Answer: C
Rationale: Straining urine provides for assessment of calculi and evaluation of calculi descent through ureters and urethra.
Question 3 of 5
The nurse is teaching a client with a history of chronic kidney disease about dietary modifications. The nurse should tell the client to:
Correct Answer: A
Rationale: Limiting phosphorus intake prevents bone and cardiovascular complications in chronic kidney disease.
Question 4 of 5
The nurse is caring for a client with acromegaly. Following a transphenoidal hypophysectomy, the nurse should:
Correct Answer: A
Rationale: Transphenoidal hypophysectomy can disrupt pituitary function, affecting glucose regulation. Monitoring blood sugar is critical to detect hypo- or hyperglycemia. Suctioning, positioning, or coughing is not routine.
Question 5 of 5
The patient states, 'My stomach hurts about two hours after I eat.' Based upon this information, the nurse suspects the patient likely has a:
Correct Answer: B
Rationale: Pain 2–3 hours after eating is characteristic of a duodenal ulcer, as acid irritates the ulcerated mucosa in the duodenum post-digestion. Gastric ulcer pain typically occurs sooner after meals, peptic ulcer is a general term, and Curling’s ulcer is stress-related.