NCLEX-RN
NCLEX-RN Exam Practice Questions
Extract:
Question 1 of 5
The physician is preparing to induce labor on a 40-week multigravida. The nurse should anticipate the administration of:
Correct Answer: A
Rationale: Oxytocin is used to induce labor by stimulating uterine contractions in a term pregnancy.
Question 2 of 5
A client with a fractured leg is exhibiting shortness of breath, pain upon deep breathing, and hemoptysis. What do these clinical manifestations indicate to the nurse?
Correct Answer: B
Rationale: Shortness of breath, pleuritic pain, and hemoptysis are classic signs of pulmonary embolus, often associated with immobility from a fracture. CHF (
A) causes edema, ARDS (
C) causes diffuse respiratory failure, and tension pneumothorax (
D) causes tracheal deviation.
Question 3 of 5
The nurse is preparing a client for cervical uterine radiation implant insertion. Which will be included in the teaching plan?
Correct Answer: B
Rationale: A Foley catheter is inserted during cervical radiation implants to keep the bladder empty, reducing radiation exposure. TV/phone use (
A) is allowed, high-fiber diet (
C) is not specific, and excretions (
D) are not radioactive with internal implants.
Question 4 of 5
Which of the following factors affects the accuracy of pulse oximetry readings?
Correct Answer: A, B, C
Rationale: Pulse oximetry accuracy is reduced by poor circulation (
A), improper probe placement (
B), and bright lighting (
C). Dark skin (
D) has minimal impact with modern sensors.
Question 5 of 5
A 66-year-old female client has smoked 2 packs of cigarettes per day for 20 years. Her arterial blood gases on room air are as follows: pH 7.35; PO2 70 mm Hg; PCO2 55 mm Hg; HCO3 32 mEq/L. These blood gases reflect:
Correct Answer: B
Rationale: Normal pH with elevated PCO2 and HCO3 indicates compensated respiratory acidosis, common in chronic smokers due to CO2 retention.