NCLEX-RN
NCLEX-RN Exam Practice Questions
Extract:
Question 1 of 5
The nurse is caring for a client with a history of a pneumothorax who has a chest tube. The nurse should:
Correct Answer: D
Rationale: Subcutaneous emphysema (air under the skin) indicates chest tube malfunction or air leak, requiring monitoring. Clamping, raising the system, and stripping are contraindicated.
Question 2 of 5
A 20-year-old client presents to the obstetrics-gynecology clinic for the first time. She tells the nurse that she is pregnant and wants to start prenatal care. After collecting some initial assessment data, the nurse measures her fundal height to be at the level of the umbilicus. The nurse estimates the fetal gestational age to be approximately:
Correct Answer: C
Rationale: At 10 weeks, the fundus is located slightly above the symphysis pubis. At 16 weeks, the fundus is halfway between the symphysis pubis and the umbilicus. At 20 weeks, the fundus is located approximately at the umbilicus. At 30 weeks, the fundal height is about 30 cm, or 10 cm above the umbilicus.
Question 3 of 5
A female client has been diagnosed with chronic renal failure. She is a candidate for either peritoneal dialysis or hemodialysis and must make a choice between the two. Which information should the nurse give her to help her decide?
Correct Answer: A
Rationale: Hemodialysis is faster in clearing the blood of toxins than peritoneal dialysis. However, clients must consider the time that they spend traveling to the dialysis center and the disruption in their daily lives. Peritoneal dialysis requires several exchanges with dwelling time for the dialysate and therefore takes longer than hemodialysis. Several serious complications of peritoneal dialysis include peritonitis, catheter displacement and/or plugging, or pain during dialysis. A client can be taught to self-administer peritoneal dialysis without the aid of a professional.
Question 4 of 5
The sputum of a client remains positive for the tubercle bacillus even though the client has been taking Laniazid (isoniazid) in combination with other antituberculars. The nurse recognizes that the client taking isoniazid should have a negative sputum culture within:
Correct Answer: D
Rationale: Effective antitubercular therapy, including isoniazid, typically results in a negative sputum culture within three months, indicating control of active infection.
Question 5 of 5
The nurse is preparing to administer a dose of nitroglycerin sublingual to a client with chest pain. Which instruction should be given to the client?
Correct Answer: B
Rationale: Nitroglycerin sublingual tablets are placed under the tongue to dissolve, allowing rapid absorption to relieve angina. Swallowing, chewing, or taking with milk reduces effectiveness or delays onset.