NCLEX Questions, NCLEX RN Exam Questions Questions, NCLEX-RN

Extract:

Question 1 of 5

The nurse is notified that a 27-year-old primigravida diagnosed with complete placenta previa is to be admitted to the hospital for a cesarean section. The client is now at 36 weeks' gestation and is presently having bright red bleeding of moderate amount. On admission, the nursing intervention that the nurse should give the highest priority to is:

Correct Answer: B

Rationale: These nursing actions are necessary prior to the cesarean section, but not immediately necessary to maintain physiological equilibrium. Determining the physiological status of the fetus would constitute the highest priority in evaluating and maintaining fetal life. These nursing actions are necessary prior to the cesarean section, but not immediately necessaryç™¾2.5.3.2 immediately necessary to maintain physiological equilibrium. These nursing actions are necessary prior to the cesarean section, but not immediately necessary to maintain physiological equilibrium.

Question 2 of 5

The mother of a male child with cystic fibrosis tells the nurse that she hopes her son's children won't have the disease. The nurse is aware that:

A. There is a 25% chance that his children will have cystic fibrosis. B. Most of the males with cystic fibrosis are sterile. C. There is a 50% chance that his children will be carriers. D. Most males with cystic fibrosis are capable of having children, so genetic counseling is advised.

Correct Answer: B

Rationale: Cystic fibrosis often causes infertility in males due to congenital absence of the vas deferens, making most males sterile. This reduces the likelihood of passing the disease to offspring.

Question 3 of 5

The nurse is caring for a client with a history of chronic obstructive pulmonary disease (COPD). The nurse should give priority to:

A. Monitoring oxygen saturation B. Administering diuretics C. Monitoring blood glucose D. Assessing for edema

Correct Answer: A

Rationale: COPD impairs gas exchange, so monitoring oxygen saturation is critical to assess respiratory function and guide oxygen therapy.

Question 4 of 5

The nurse writes the following nursing diagnosis for a client in acute renal failure--Impaired gas exchange related to:

A. Decreased red blood cell production B. Increased levels of vitamin D C. Increased red blood cell production D. Decreased production of renin

Correct Answer: A

Rationale: Red blood cell production is impaired in renal failure owing to impaired erythropoietin production. This causes a decrease in the delivery of oxygen to the tissue and impairs gas exchange. The conversion of vitamin D to its physiologically active form is impaired in renal failure. In renal failure, a decrease in red blood cell production occurs owing to an impaired production of erythropoietin, leading to impaired gas exchange at the cellular level. The decreased production of renin in renal failure causes an increased production of aldosterone causing sodium and water retention.

Question 5 of 5

Which is true regarding the administration of antacids?

A. Antacids should be administered without regard to mealtimes. B. Antacids should be administered with each meal and snack of the day. C. Antacids should not be administered with other medications. D. Antacids should be administered with all other medications, for maximal absorption.

Correct Answer: C

Rationale: Antacids can bind to other medications, reducing their absorption, so they should be administered at least 1–2 hours apart from other drugs. Timing with meals depends on the condition, and they are not given with every meal/snack or to enhance other drug absorption.