NCLEX-RN
NCLEX RN High-Yield Questions Questions
Extract:
Question 1 of 5
The nurse is caring for a client with chronic renal failure. Knowing that the client is a candidate for development of hypermagnesemia, for which of the following signs and symptoms should the nurse assess the client?
Correct Answer: B
Rationale: Hypermagnesemia can cause lethargy due to its depressive effects on the central nervous system.
Question 2 of 5
Which characteristic of carbon monoxide makes it a particularly dangerous gas?
Correct Answer: A
Rationale: Carbon monoxide is dangerous because it is clear , odorless, and tasteless, making it undetectable without specialized equipment, leading to unnoticed exposure and poisoning.
Question 3 of 5
The nurse is assessing a client with a suspected tension pneumothorax. Which of the following findings is most indicative of this condition?
Correct Answer: B
Rationale: Jugular vein distension is a sign of tension pneumothorax due to increased intrathoracic pressure compressing the vena cava.
Question 4 of 5
The nurse is developing a plan of care for a client diagnosed with acquired immunodeficiency syndrome (AIDS). The nurse should document which goals for the client in the plan of care? Select all that apply.
Correct Answer: A,D
Rationale: A common, life-threatening opportunistic infection that occurs in clients with AIDS is Pneumocystis jiroveci pneumonia. Its symptoms include fever, exertional dyspnea, and nonproductive cough. The absence of respiratory distress and that of a fever are two of the goals that the nurse sets as priorities. The remaining options are not specifically related to AIDS.
Question 5 of 5
A client was admitted to the hospital with a diagnosis of frequent symptomatic premature ventricular contractions (PVCs). After sitting up in a chair for a few minutes, the client reports feeling lightheaded. Which finding should the nurse anticipate on auscultation of the heartbeat?
Correct Answer: B
Rationale: The most accurate means of assessing pulse rhythm is by auscultation of the apical pulse. When a client has PVCs, the rate is irregular and if the radial pulse is taken, a true picture of what is occurring is not obtained. A very slow regular apical pulse indicates bradycardia. A very rapid regular apical pulse indicates tachycardia.