NCLEX-RN
NCLEX-RN Exam Questions
Extract:
Question 1 of 5
The nurse is evaluating the laboratory value results of a client after a craniotomy for a pituitary tumor. Which values cause the nurse to suspect a diabetes insipidus complication?
Correct Answer: A, B
Rationale: Diabetes insipidus causes dilute urine (low specific gravity,
A) and hypernatremia (158 mEq/L,
B) from excessive water loss. Potassium (
C), hemoglobin (
D), and chloride (E) are normal and unrelated.
Question 2 of 5
A five-month-old is diagnosed with atopic dermatitis. Nursing interventions will focus on:
Correct Answer: A
Rationale: Atopic dermatitis involves itchy, broken skin prone to infection. Preventing infection through skin care and hygiene is critical. Antipyretics, dry skin, or fluid limits are not primary concerns.
Question 3 of 5
A 2-year-old boy fell out of bed and has a subdural hematoma. When his mother leaves him for the first time, you will expect the child to:
Correct Answer: B
Rationale: This baby probably will cry, which should be prevented because it will increase his intracranial pressure (ICP). Asking the mother to wait until the baby is asleep may help.
Question 4 of 5
A client with a history of rheumatoid arthritis is admitted with complaints of fatigue. The nurse should give priority to:
Correct Answer: A
Rationale: Fatigue in rheumatoid arthritis may indicate anemia of chronic disease, so monitoring for anemia is the priority.
Question 5 of 5
A laboratory technique specific for diagnosing Lyme disease is:
Correct Answer: A
Rationale: Polymerase chain reaction is the laboratory technique specific for Lyme disease. Heterophil antibody test is used to diagnose mononucleosis. Lyme disease does not decrease the serum calcium level. Lyme disease does not increase the serum potassium level.