NCLEX-RN
NCLEX-RN Exam Practice Questions
Extract:
Question 1 of 5
The nurse is caring for a client with a history of chronic kidney disease. The nurse should expect the client to have:
Correct Answer: A
Rationale: Chronic kidney disease reduces erythropoietin production, causing anemia, a common complication.
Question 2 of 5
A 55-year-old man has recently been diagnosed with hypertension. His physician orders a low-sodium diet for him. When he asks, 'What does salt have to do with high blood pressure?' the nurse's initial response would be:
Correct Answer: B
Rationale: Excess salt causes fluid retention, increasing blood volume and thus blood pressure.
Question 3 of 5
A client with chronic kidney disease is receiving epoetin alfa (Epogen). Which laboratory value indicates the medication is effective?
Correct Answer: A
Rationale: Epoetin alfa stimulates red blood cell production. A hemoglobin of 12 g/dL (
A) indicates effectiveness. Creatinine (
B), potassium (
C), and WBC (
D) are not directly affected.
Question 4 of 5
The client is admitted with a diagnosis of gestational trophoblastic disease. Which symptom is most likely to be present?
Correct Answer: A
Rationale: Gestational trophoblastic disease (e.g. molar pregnancy) causes markedly elevated hCG levels due to abnormal trophoblastic proliferation. Fetal heart tones are absent uterine size is larger and hypotension is not typical.
Question 5 of 5
A client being treated with sodium warfarin (Coumadin) has a prothrombin time of 120 seconds. The nurse recognizes that:
Correct Answer: A
Rationale: A prothrombin time of 120 seconds is excessively prolonged indicating a high bleeding risk. Close monitoring for bleeding (e.g. bruising hematuria) is critical. The dosage is not inadequate vitamin K restriction is routine and doubling doses is dangerous.