NCLEX-RN
NCLEX RN Practice Test Questions
Extract:
Question 1 of 5
The primary physiological alteration in the development of asthma is:
Correct Answer: D
Rationale: Bronchiolar smooth muscle spasm is the primary physiological alteration in asthma, leading to airway narrowing.
Question 2 of 5
The nurse is making assignments for the day. Which client should be assigned to the pregnant nurse?
Correct Answer: D
Rationale: Iridium seeds emit low-level, localized radiation, posing minimal risk to a pregnant nurse.
Question 3 of 5
A client with a severe corneal ulcer has an order for Gentamycin gtt. q 4 hours and Neomycin 1 gtt q 4 hours. Which of the following schedules should be used when administering the drops?
Correct Answer: A
Rationale: Administering eye drops 5 minutes apart prevents dilution and ensures each medication's efficacy.
Question 4 of 5
A client arrives from surgery following an abdominal perineal resection with a permanent ileostomy. What should be the priority nursing care during the post-op period?
Correct Answer: D
Rationale: Facilitating perineal wound drainage is the priority to prevent infection and promote healing in the immediate postoperative period, as the perineal wound is at high risk for complications.
Question 5 of 5
An ICU nurse is caring for a client receiving total parenteral nutrition (TPN) via IV. The client's infusion ended 2 hours ago and the pharmacy has not yet sent another bag. The client is diaphoretic, tachycardic, and states he feels weak, dizzy, and fatigued. The nurse suspects
Correct Answer: D
Rationale: Abrupt cessation of TPN can cause hypoglycemia due to persistent insulin secretion, leading to diaphoresis, tachycardia, weakness, and dizziness.