NCLEX-RN
NCLEX RN Practice Questions
Extract:
Question 1 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 2 of 5
The nurse is monitoring the labs of a client admitted with viral hepatitis. Which of the following lab findings would the nurse expect for this client? Select all that apply.
Correct Answer: B, C, D
Rationale: Viral hepatitis typically causes increased AST, elevated ammonia, and low serum albumin due to liver damage, while ALT is usually increased, not decreased, and prothrombin time is prolonged.
Question 3 of 5
A nurse manager and a case manager are talking to a group of new nurses about the differences of case management and care coordination. The nurse manager understands which to be true regarding the differences?
Correct Answer: C
Rationale: Case management focuses on holistic care and client-family dynamics, coordinating resources to meet complex needs. Other options are less accurate or incomplete.
Question 4 of 5
Which of the following post-operative diets is most appropriate for the client who has had a hemorrhoidectomy?
Correct Answer: A
Rationale: High-fiber diets promote soft stools, reducing strain post-hemorrhoidectomy.
Question 5 of 5
The physician has ordered a histoplasmosis test for the elderly client. The nurse is aware that histoplasmosis is transmitted to humans by:
Correct Answer: D
Rationale: Histoplasmosis is a fungal infection transmitted through inhalation of spores from bird or bat droppings.