NCLEX-RN
Practice NCLEX RN Test Questions
Extract:
Question 1 of 5
The physician has ordered intubation and mechanical ventilation for a client with periods of apnea following a closed head injury. Arterial blood gases reveal a pH of 7.47, PCO2 of 28, and HCO3 of 23. These findings indicate that the client has:
Correct Answer: B
Rationale: A pH of 7.47 and PCO2 of 28 indicate respiratory alkalosis, likely due to hyperventilation from the head injury.
Question 2 of 5
The nurse is evaluating the intake and output of a client for the first 12 hours following an abdominal cholecystectomy. Which finding should be reported to the physician?
Correct Answer: D
Rationale: Absence of stool post-cholecystectomy may indicate a complication like ileus or obstruction, requiring physician evaluation.
Question 3 of 5
The mother of a child with chickenpox wants to know if there is a medication that will shorten the course of the illness. Which medication is sometimes used to speed healing of the lesions and shorten the duration of fever and itching?
Correct Answer: A
Rationale: Acyclovir can reduce the severity and duration of chickenpox symptoms if started early, particularly in high-risk patients.
Question 4 of 5
The nurse is providing instruction to a client's family regarding home safety with thrombocytopenia. Which statement by the client's family indicates a need for further education?
Correct Answer: D
Rationale: Rugs pose a tripping hazard, increasing bleeding risk in thrombocytopenia. Other statements reflect safe practices to minimize bleeding.
Question 5 of 5
The nurse has just administered an IM injection to a client. In which of the following ways should the nurse dispose of the needle?
Correct Answer: D
Rationale: Needles should be disposed of immediately in a puncture-resistant container in the client’s room to minimize sharps injury risk.