NCLEX-RN
NCLEX-RN Exam Practice Questions
Extract:
Question 1 of 5
The nurse is caring for a client with a diagnosis of hyperemesis gravidarum. Which intervention is most appropriate?
Correct Answer: D
Rationale: Hyperemesis gravidarum requires IV fluids for hydration small frequent meals to reduce nausea and antiemetics to control vomiting. All interventions are appropriate to manage symptoms and prevent complications.
Question 2 of 5
A client with a history of asthma is admitted with an acute exacerbation. The nurse should give priority to:
Correct Answer: A
Rationale: Bronchodilators are the first-line treatment for an acute asthma exacerbation to relieve bronchospasm and improve airflow.
Question 3 of 5
Early in her ninth month of pregnancy, a client has been diagnosed as having mild preeclampsia. In counseling her about her diet, the nurse must emphasize the importance of:
Correct Answer: D
Rationale: Women with pregnancy-induced hypertension have a reduced plasma volume secondary to venous vessel constriction, not hypovolemia; therefore, sodium restriction is not recommended. It is suggested that these women avoid extremely salty foods. Drinking six to eight glasses of water per day facilitates optimal fluid volume and renal perfusion, but it will not decrease the venous vessel constriction of pregnancy-induced hypertension. Carbohydrate needs increase during pregnancy, specifically during the second and third trimesters, but they have not been linked to pregnancy-induced hypertension. Loss of urinary protein (proteinuria) is associated with increased permeability of the large protein molecules with pregnancy-induced hypertension. Additional dietary protein also helps increase the plasma colloidal osmotic pressure. Diets deficient in protein have been linked to pregnancy-induced hypertension.
Question 4 of 5
A 33-year-old client is diagnosed with bipolar disorder, acute phase. This is her first psychiatric hospitalization, and she is being evaluated for treatment with lithium. Which of the following diagnostic tests are essential prior to the initiation of lithium therapy with this client?
Correct Answer: B
Rationale: These are general diagnostic blood studies (usually done on admission), but they are not reliable indicators of lithium therapy clearance. These are the primary diagnostic tests to determine kidney functioning. Because lithium is excreted through the kidneys and because it can be very toxic, adequate renal function must be ascertained before therapy begins. These are diagnostic blood tests used to determine the presence of endocrine (not renal) dysfunction. These are other types of diagnostic procedures used to determine musculoskeletal, neural, and cardiac (rather than renal) functioning.
Question 5 of 5
The physician is preparing to induce labor on a 40-week multigravida. The nurse should anticipate the administration of:
Correct Answer: A
Rationale: Oxytocin is used to induce labor by stimulating uterine contractions in a term pregnancy.