NCLEX-RN
NCLEX RN Exam Questions Questions
Extract:
Question 1 of 5
The nurse is caring for a client with a history of chronic obstructive pulmonary disease (COPD). The nurse should give priority to:
Correct Answer: A
Rationale: COPD impairs gas exchange, so monitoring oxygen saturation is critical to assess respiratory function and guide oxygen therapy.
Question 2 of 5
The nurse is caring for a client with a history of ectopic pregnancy. Which risk factor is most likely to be present?
Correct Answer: A
Rationale: Pelvic inflammatory disease (PI
D) is a major risk factor for ectopic pregnancy as it can scar the fallopian tubes impairing embryo transport. Gestational diabetes hypertension and multiple gestations are not strongly associated.
Question 3 of 5
The nurse is assessing the client with metabolic alkalosis. Which findings would likely be observed in this client?
Correct Answer: B, C, E, F
Rationale: Metabolic alkalosis results from excess bicarbonate or loss of acids (e.g., from vomiting). Vomiting and nausea (
C) are common causes. Numbness (
B), circumoral paresthesia (E), and hypertonic muscle contractions (F) occur due to hypocalcemia from alkalosis. Kussmaul’s respirations (
A) are associated with metabolic acidosis, and warm flushed skin (
D) is unrelated.
Question 4 of 5
A pregnant client complains of varicosities in the third trimester. Which of the following activities should she be advised to avoid?
Correct Answer: D
Rationale: Sitting with the legs crossed at the ankles does not interfere with circulation or create pressure points. TED stockings will help to reduce the varicosity by supporting the vein. Stockings must be applied with legs elevated. Support pantyhose help to reduce the varicosity by supporting the vein. They also provide support to the uterus and allow for better return circulation. Hose must be applied like TED stockings. Knee-high stockings create constriction and pressure points that interfere with circulation in the lower extremities.
Question 5 of 5
The nurse is ready to begin an exam on a nine-month-old infant who is sitting quietly on his mother's lap. Which should the nurse do first?
Correct Answer: B
Rationale: When examining an infant, the nurse should start with the least invasive procedures to maintain the infant’s calm state. Listening to heart and lung sounds is non-invasive and can be done while the infant is quiet. Checking the Babinski reflex, palpating the abdomen, or checking tympanic membranes may cause discomfort and disrupt the exam.