NCLEX-RN
Practice NCLEX RN Test Questions
Extract:
Question 1 of 5
Which assessment finding in a client with COPD indicates to the nurse that the respiratory problem is chronic?
Correct Answer: C
Rationale: Clubbing of fingers is a sign of chronic hypoxia, indicative of long-standing COPD, unlike wheezing or cough, which can occur in acute or chronic stages.
Question 2 of 5
The nurse is caring for a 28-year-old female with a long history of heroin addiction. The client tells the nurse that she started off using a small amount recreationally, but as time went on, she needed more and more heroin to feel a high. The nurse recognizes this as
Correct Answer: C
Rationale:
Tolerance is the need for increasing doses to achieve the same effect, as described in the client’s heroin use.
Question 3 of 5
The nurse has received report on the day's assigned clients. Which of the following clients should the nurse see first?
Correct Answer: D
Rationale: Tingling around the mouth after an antibiotic suggests an allergic reaction, potentially anaphylaxis, requiring immediate assessment.
Question 4 of 5
A client with Hodgkin's lymphoma is receiving Platinol (cisplatin). To help prevent nephrotoxicity, the nurse should:
Correct Answer: B
Rationale: Adequate hydration is critical to prevent cisplatin-induced nephrotoxicity by promoting renal excretion of the drug.
Question 5 of 5
The nurse is taking care of an elderly client with congestive heart failure. Which of the following are the most appropriate nursing interventions to reduce the workload of the heart and to promote comfort and rest? Select all that apply.
Correct Answer: A, B, D
Rationale: Daily weights monitor fluid status, assistance with self-care reduces exertion, and post-activity vital signs assess heart workload. Sensory stimulation may increase stress.