NCLEX-RN
NCLEX-RN Exam Practice Questions
Extract:
Question 1 of 5
The nurse is assessing a client with suspected pulmonary edema. Which finding is most expected?
Correct Answer: A
Rationale: Crackles in the lung bases indicate fluid accumulation in pulmonary edema. Tachycardia, productive cough, and hypertension are more common than bradycardia, dry cough, or hypotension.
Question 2 of 5
The nurse is caring for a client following a Whipple procedure. The nurse should give priority to assessing for:
Correct Answer: B
Rationale: The Whipple procedure involves pancreatic resection, increasing the risk of hypoglycemia due to altered insulin production, making this a priority assessment.
Question 3 of 5
A priority nursing diagnosis for a child following a tonsillectomy is:
Correct Answer: C
Rationale: Post-tonsillectomy the priority is risk for injury/aspiration due to potential bleeding or swelling that could obstruct the airway. Nutrition communication and urinary elimination are secondary concerns.
Question 4 of 5
Four days after admission for cirrhosis of the liver, the nurse observes the following when assessing a male client: increased irritability, asterixis, and changes in his speech pattern. Which of the following foods would be appropriate for his bedtime snack?
Correct Answer: A
Rationale: High levels of ammonia, a by-product of protein metabolism, can precipitate metabolic encephalopathy. These clients need a diet high in carbohydrates and bulk. Metabolic encephalopathy of the brain associated with liver failure is precipitated by elevated ammonia levels. Ammonia is a by-product of protein metabolism. (C,
D) Metabolic encephalopathy in liver failure is precipitated by elevated ammonia levels. Ammonia is a by-product of protein metabolism.
Question 5 of 5
A client with type 2 diabetes is prescribed metformin (Glucophage). Which statement by the client indicates a need for further teaching?
Correct Answer: C
Rationale: Stopping metformin abruptly (
C) can worsen glycemic control, indicating a need for further teaching. Taking with meals (
A), monitoring sugar (
B), and reporting muscle pain (
D) are correct.