NCLEX-RN
NCLEX RN Nursing Exam Questions
Extract:
Question 1 of 5
To facilitate maximum air exchange, the nurse should position the client in:
Correct Answer: B
Rationale: The orthopneic position is a sitting position that allows maximum lung expansion.
Question 2 of 5
The mother of a client is apprehensive about taking home her 2 year old who was diagnosed with asthma after being admitted to the emergency room with difficulty breathing and cyanosis. She asks the nurse what symptoms she should look for so that this problem will not happen again. The nurse instructs her to watch for the following early symptoms:
Correct Answer: C
Rationale: The child with asthma may not have fever unless there is an underlying infection. Edema of the eyes will not be present because the child with asthma is more likely to have dehydration related to excessive water loss during the work of breathing. All of these symptoms indicate decreased oxygenation and are early symptoms of asthma. Coughing and wheezing are not early signs of difficulty.
Question 3 of 5
The nurse is caring for a client with a history of migraines. Which medication is most likely to be prescribed for acute relief?
Correct Answer: A
Rationale: Sumatriptan, a triptan, is used for acute migraine relief by constricting cranial vessels. Propranolol, gabapentin, and amitriptyline are for migraine prophylaxis, not acute treatment.
Question 4 of 5
A client with cancer is experiencing a common side effect of chemotherapy administration. Which laboratory assessment finding would cause the most concern?
Correct Answer: A
Rationale: A sodium level of 50 mg/dL is impossible (likely a typo for 50 mEq/L, which is severely hyponatremic) and life-threatening, causing seizures. Glucose (
B), platelets (
C), and WBC (
D) are near normal or less critical.
Question 5 of 5
A client who uses a respiratory inhaler asks the nurse to explain how he can know when half his medication is empty so that he can refill his prescription. The nurse should tell the client to:
Correct Answer: B
Rationale: Dropping the inhaler in water to see if it floats is a practical way to estimate remaining medication; a half-empty inhaler will float, while a full one sinks.