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NCLEX-RN Exam Practice Questions

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Question 1 of 5

The physician has ordered a low-purine diet for a client with gout. Which protein source is high in purine?

Correct Answer: A

Rationale: Dried beans are high in purines, which can exacerbate gout by increasing uric acid levels, so they should be avoided on a low-purine diet.

Question 2 of 5

A client is having an amniocentesis. Prior to the procedure, an ultrasound is performed. In preparing the client, the nurse explains the reason for a sonogram in this situation to be:

Correct Answer: C

Rationale: Prior to amniocentesis, the abdomen is scanned by ultrasound to locate the placenta, thus reducing the possibility of penetrating it with the spinal needle used to obtain amniotic fluid.

Question 3 of 5

A client presents to the emergency room with cyanosis, coughing, tachypnea, and tachycardia. She has a history of asthma. Arterial blood gas values are pH 7.28, PaO2 54, PaCO2 60, and HCO3 24. The nursing assessment of arterial blood gases indicate the presence of:

Correct Answer: B

Rationale: Respiratory acidosis is determined by low pH and elevated PaCO2.

Question 4 of 5

The nurse is planning room assignments for the day. Which client should be assigned to a private room if only one is available?

Correct Answer: A

Rationale: MRSA (methicillin-resistant Staphylococcus aureus) requires contact precautions and a private room to prevent transmission. Diabetes pancreatitis and Addison’s disease do not require isolation unless other infectious conditions are present.

Question 5 of 5

The nurse reviewing the lab results of a client receiving Cytoxan (cyclophosphamide) for Hodgkin's lymphoma finds the following: WBC 4,200, RBC 3,800,000, platelets 25,000, and serum creatinine 1.0 mg. The nurse recognizes that the greatest risk for the client at this time is:

Correct Answer: B

Rationale: A platelet count of 25,000 indicates severe thrombocytopenia, posing a significant risk of bleeding, which is the greatest immediate concern compared to infection, anemia, or renal failure.

Similar Questions

The nurse is performing an admission assessment on a client with a history of glaucoma. Which medication is the client most likely taking?
The nurse is educating the caregiver of a client with dysphagia, due to a stroke, in ways to ensure safety and avoid aspiration during meals. Which information should be included?
A nurse is caring for a client with a myocardial infarction. The nurse recognizes that the most common complication in the client following a myocardial infarction is:
A 22-year-old client who is being seen in the clinic for a possible asthma attack stops wheezing suddenly as the nurse is doing a lung assessment. Which one of the following nursing interventions is most important?
The chart of a client with schizophrenia states that the client has echolalia. The nurse can expect the client to:

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