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NCLEX-RN Exam Practice Questions

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Question 1 of 5

The nurse has been asked to present a lecture on the prevention of West Nile virus in the community setting. Which does the nurse include in the teaching plan?

Correct Answer: A

Rationale: West Nile virus is transmitted by mosquitoes. Wearing protective clothing outside reduces exposure. Midday avoidance (
B) is less effective, DEET repellant (
C) is recommended, and the virus affects all ages, not just under 18 (
D).

Question 2 of 5

Which classification of drugs is contraindicated for the client with hypertrophic cardiomyopathy?

Correct Answer: A

Rationale: Positive inotropic agents should not be administered owing to their action of increasing myocardial contractility. Increased ventricular contractility would increase outflow tract obstruction in the client with hypertrophic cardiomyopathy. Vasodilators are not typically prescribed but are not contraindicated. Diuretics are used with caution to avoid causing hypovolemia. Antidysrhythmics are typically needed to treat both atrial and ventricular dysrhythmias.

Question 3 of 5

The nurse is assessing the vital signs of a client with pancreatic cancer. In addition to routine vital signs, the nurse assesses the fifth vital sign of:

Correct Answer: B

Rationale: Pain is considered the fifth vital sign, alongside temperature, pulse, respiration, and blood pressure. It is routinely assessed, especially in conditions like pancreatic cancer, which often causes significant pain due to tumor invasion or obstruction.

Question 4 of 5

The nurse is preparing a client for cervical uterine radiation implant insertion. Which will be included in the teaching plan?

Correct Answer: B

Rationale: A Foley catheter is inserted during cervical radiation implants to keep the bladder empty, reducing radiation exposure. TV/phone use (
A) is allowed, high-fiber diet (
C) is not specific, and excretions (
D) are not radioactive with internal implants.

Question 5 of 5

The nurse is discharging a client with a prescription of eyedrops.

Correct Answer: B

Rationale: Administering a second eyedrop immediately (
B) prevents absorption of the first, indicating a need for teaching (wait 5–10 minutes). Shaking (
A), hand washing (
C), and proper instillation (
D) are correct.

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