NCLEX Questions, NCLEX-RN Exam Practice Questions, NCLEX-RN Questions, Nurselytic

Questions 157

NCLEX-RN

NCLEX-RN Test Bank

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 client is admitted with acute adrenal crisis. During the intake assessment, the nurse can expect to find that the client has:

Correct Answer: A

Rationale: Acute adrenal crisis (Addisonian crisis) causes hypotension due to cortisol and aldosterone deficiency, leading to shock. Pulse is typically rapid, skin is cool, and urination decreases.

Question 3 of 5

A client with a fractured leg is exhibiting shortness of breath, pain upon deep breathing, and hemoptysis. What do these clinical manifestations indicate to the nurse?

Correct Answer: B

Rationale: Shortness of breath, pleuritic pain, and hemoptysis are classic signs of pulmonary embolus, often associated with immobility from a fracture. CHF (
A) causes edema, ARDS (
C) causes diffuse respiratory failure, and tension pneumothorax (
D) causes tracheal deviation.

Question 4 of 5

The nurse at a college campus is preparing to medicate several students who have been exposed to meningococcal meningitis.Which would the nurse most likely administer?

Correct Answer: B

Rationale: Ciprofloxacin is a fluoroquinolone antibiotic recommended for post-exposure prophylaxis in meningococcal meningitis due to its effectiveness against Neisseria meningitidis. Ampicillin, Vancomycin, and Piperacillin/Tazobactam are not typically used for this purpose.

Question 5 of 5

A client has an order to administer cisplatin (Platinol). Which drug would the nurse expect to be ordered to reduce renal toxicity from the cisplatin infusion?

Correct Answer: A

Rationale: Amifostine protects kidneys from cisplatin’s nephrotoxicity by neutralizing free radicals. Dexrazoxane (
B) protects the heart, Mesna (
C) prevents bladder toxicity, and Pamidronate (
D) treats hypercalcemia.

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