NCLEX-RN
Free NCLEX RN Exam Questions
Extract:
Question 1 of 5
The client with hyperemesis gravidarum is at risk for developing:
Correct Answer: B
Rationale: Hyperemesis gravidarum causes prolonged vomiting leading to dehydration and loss of stomach acid resulting in metabolic acidosis. The dehydration exacerbates the acid-base imbalance.
Question 2 of 5
A client is diagnosed with emphysema and cor pulmonale. Which findings are characteristic of cor pulmonale?
Correct Answer: D
Rationale: Cor pulmonale, right heart failure from lung disease, causes lower extremity edema and distended neck veins due to increased venous pressure. Hypoxia and fatigue are general emphysema symptoms.
Question 3 of 5
Which of the following findings would be expected in the infant with biliary atresia?
Correct Answer: C
Rationale: Biliary atresia causes bile flow obstruction, leading to abdominal distention (from hepatomegaly) and poor weight gain due to malabsorption. Stools are pale, not dark, and weight gain is not rapid.
Question 4 of 5
The nurse is preparing to discharge a client who is taking an MAOI. The nurse should instruct the client to:
Correct Answer: B
Rationale: MAOIs interact with tyramine-containing OTC cold and allergy medications, risking hypertensive crisis. Sunglasses, hydration, and protein intake are not specific to MAOI precautions.
Question 5 of 5
A camp nurse is applying sunscreen to a group of children enrolled in swim classes. Chemical sunscreens are most effective when applied:
Correct Answer: D
Rationale: Chemical sunscreens require 30 minutes to absorb into the skin for optimal UV protection. Applying closer to exposure reduces effectiveness.