NCLEX-RN
NCLEX RN Practice Questions PDF Questions
Extract:
Question 1 of 5
The nurse is assessing a client for hypovolemia. Which laboratory result would help the nurse in confirming a volume deficit?
Correct Answer: A
Rationale: Hypovolemia causes hemoconcentration, increasing hematocrit (e.g., 55% is elevated). Potassium, urine specific gravity, and BUN within normal ranges don't confirm volume deficit.
Question 2 of 5
A 14-year-old client has been diagnosed with celiac disease after a long history of diarrhea, anemia, and weight loss. What type of diet does the nurse anticipate the client will require?
Correct Answer: D
Rationale: Celiac disease requires a gluten-free diet (
D) to prevent intestinal damage. Other diets (A, B,
C) are not specific to celiac.
Question 3 of 5
The physician has ordered an MRI for a client with an orthopedic ailment. An MRI should not be done if the client has:
Correct Answer: C
Rationale: A permanent pacemaker is a contraindication for an MRI due to the risk of device malfunction in a magnetic field.
Question 4 of 5
If the nurse is unable to elicit the deep tendon reflexes of the patella, the nurse should ask the client to:
Correct Answer: A
Rationale: Pulling against the palms enhances reflex response by increasing muscle tone, aiding in eliciting the patellar reflex.
Question 5 of 5
The nurse is working on the cardiac unit with a client scheduled to receive digitalis. The nurse understands that which finding is a contraindication for this medication? Select all that apply.
Correct Answer: A,D,E
Rationale: AV block, sick sinus syndrome, and Wolff-Parkinson-White syndrome are contraindications for digitalis due to the risk of worsening conduction abnormalities. Atrial flutter and fibrillation are indications.