NCLEX-RN
NCLEX RN Practice Questions
Extract:
Question 1 of 5
The nurse is completing an assessment history of a client with pernicious anemia. Which complaint differentiates pernicious anemia from other types of anemia?
Correct Answer: B
Rationale: Numbness and tingling in the extremities are specific to pernicious anemia due to vitamin B12 deficiency affecting peripheral nerve function.
Question 2 of 5
A client is prescribed 0.25 mg terbutaline subcutaneously, but the medication is provided as 1 mg/mL. How much medication is needed to provide the correct dosage? Record your answer using a decimal to two places.
Correct Answer: 0.25
Rationale: Dose required = 0.25 mg. Concentration is 1 mg/mL, so volume = 0.25 m/1 mg/mL = 0.25 mL.
Question 3 of 5
The nurse is discussing cigarette smoking with an emphysema client. The client states, 'I don't know why I should worry about cancer.' The nurse's response is based on the fact that the most important reason for a client with emphysema to avoid smoking is that it:
Correct Answer: C
Rationale: Smoking destroys lung parenchyma in emphysema, worsening alveolar damage and impairing gas exchange, making it the primary reason to avoid smoking.
Question 4 of 5
A 45-year-old female comes into the clinic for a yearly physical. The nurse calculates her body mass index (BMI) as 32. The nurse would chart this as
Correct Answer: A
Rationale: BMI 30-39.9 is classified as obese. BMI 32 indicates obesity, increasing health risks.
Question 5 of 5
The nurse is assessing a client with suspected appendicitis. Which of the following findings would the nurse expect to observe?
Correct Answer: B
Rationale: rebound tenderness at McBurney’s point is a classic sign of appendicitis