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
The nurse is assessing a client with suspected meningitis. Which finding is most concerning?
Correct Answer: A
Rationale: Neck stiffness (nuchal rigidity) is a hallmark sign of meningitis, indicating meningeal irritation and requiring urgent evaluation. Fever, photophobia, and headache are common but less specific without neck stiffness.
Question 3 of 5
A two-month-old infant has just received her first Tetramune injection. The nurse should tell the mother that the immunization:
Correct Answer: C
Rationale: Tetramune protects against diphtheria, pertussis, tetanus, and H. influenzae b and is part of a series given at 2, 4, 6, and 15-18 months. It does not test susceptibility or cover MMRV.
Question 4 of 5
Which classification of drugs is contraindicated for the client with hypertrophic cardiomyopathy?
Correct Answer: A
Rationale: Positive inotropic agents should not be administered owing to their action of increasing myocardial contractility. Increased ventricular contractility would increase outflow tract obstruction in the client with hypertrophic cardiomyopathy. Vasodilators are not typically prescribed but are not contraindicated. Diuretics are used with caution to avoid causing hypovolemia. Antidysrhythmics are typically needed to treat both atrial and ventricular dysrhythmias.
Question 5 of 5
A woman diagnosed with multiple sclerosis is disturbed with diplopia. The nurse will teach her to:
Correct Answer: D
Rationale: Limiting activities requiring close vision will not alleviate the discomfort of double vision. Frequent naps may be comforting, but they will not prevent double vision. Artificial tears are necessary in the absence of a corneal reflex, but they have no effect on diplopia. An eye patch over either eye will eliminate the effects of double vision during the time the eye patch is worn. An eye patch is safe for a person with an intact corneal reflex.