NCLEX-RN
NCLEX-RN Exam Practice Questions
Extract:
Question 1 of 5
Which emergency interventions should be carried out for the patient with a venomous snake bite of the right hand?
Correct Answer: A, E
Rationale: Snake bite management includes lying down (
A) to reduce venom spread and immobilizing the limb below heart level (E) to slow circulation. Oral antihistamines (
B) are ineffective acutely, history (
C) is secondary, and anti-venin testing (
D) is controversial and not routine.
Question 2 of 5
The nurse is aware that nutrition is an important aspect of care for a client with hepatitis. Which of the following diets would be most therapeutic?
Correct Answer: C
Rationale: A high carbohydrate, high-calorie diet provides needed calories and is palatable, reducing the liver's workload compared to high protein or fat diets.
Question 3 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.
Question 4 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 5 of 5
A client is admitted to the postpartal unit with a large amount of lochia rubra, uterine enlargement, and excessive clots. Which medication will likely be ordered for the client?
Correct Answer: D
Rationale: Hemabate, a prostaglandin, is used to treat postpartum hemorrhage by promoting uterine contractions to control bleeding. Fentanyl and Stadol are analgesics, and Prepidil is for labor induction, not hemorrhage.