NCLEX-RN
NCLEX RN Practice Test Questions
Extract:
Question 1 of 5
The nurse is caring for a client with diabetes mellitus, type 1. Which of the following signs and symptoms are indicative of diabetic ketoacidosis? Select all that apply.
Correct Answer: B,C,D,F
Rationale: Diabetic ketoacidosis (DK
A) is characterized by polyuria (
B), hyperventilation (C, Kussmaul respirations), polydipsia (
D), and abdominal pain (F) due to hyperglycemia and acidosis. Increased appetite (
A) and hypertension (E) are not typical DKA symptoms.
Question 2 of 5
A diabetic multigravida is scheduled for an amniocentesis at 32 weeks gestation to determine the L/S ratio and phosphatidyl glycerol level. The L/S ratio is 1:1 and the presence of phosphatidylglycerol is noted. The nurse's assessment of this data is:
Correct Answer: C
Rationale: An L/S ratio of 1:1 indicates immature fetal lungs, increasing the risk of respiratory distress syndrome, despite the presence of phosphatidylglycerol.
Question 3 of 5
The nurse is caring for a client with COPD. Which of the associated disorders has changes that are reversible?
Correct Answer: C
Rationale: Asthma is characterized by reversible airway obstruction, unlike bronchiectasis, emphysema, and chronic bronchitis, which involve permanent structural changes.
Question 4 of 5
A client with diabetes insipidus is receiving DDAVP (desmopressin acetate). Which lab finding indicates that the medication is having its intended effect?
Correct Answer: B
Rationale: Desmopressin increases water reabsorption, concentrating urine; a urine specific gravity of 1.020 indicates effective treatment.
Question 5 of 5
A nurse is planning care for a client with human immunodeficiency virus. The nurse knows to wear gloves under the following circumstance(s). Select all that apply.
Correct Answer: A, C, D
Rationale: Gloves are required for contact with open wounds, starting an IV, or drawing blood due to potential exposure to blood or body fluids, per standard precautions. Gloves are not needed for all contact.