NCLEX Questions, Mock NCLEX RN Exam Questions, NCLEX-RN Ques

Extract:

Question 1 of 5

Which of the following would the nurse expect to find following respiratory assessment of a client with advanced emphysema?

Correct Answer: A

Rationale: Distant breath sounds are characteristic of emphysema due to increased anteroposterior chest diameter, overdistention, and air trapping.

Question 2 of 5

The nurse is teaching the client with hepatitis B regarding transmission. The nurse should instruct the client to do which of the following?

A. Refrain from eating fresh fruits and vegetables. B. Avoid using another family member's toothbrush. C. Clean the commode after each bowel movement. D. Boil water prior to drinking and place open containers in the refrigerator. E. Inform the dentist of his diagnosis.

Correct Answer: B, E

Rationale: Hepatitis B is transmitted via blood and bodily fluids. Avoiding sharing toothbrushes (
B) prevents transmission through saliva or blood. Informing the dentist (E) ensures precautions during procedures. Eating fresh produce (
A), cleaning the commode (
C), and boiling water (
D) are unrelated to hepatitis B transmission.

Question 3 of 5

The charge nurse is formulating a discharge teaching plan for a client with mild preeclampsia. The nurse should give priority to:

A. Teaching the client to report a nosebleed B. Instructing the client to maintain strict bed rest C. Telling the client to notify the doctor of pedal edema D. Advising the client to avoid sodium sources in the diet

Correct Answer: A

Rationale: Nosebleeds in preeclampsia may indicate severe hypertension or coagulopathy, requiring immediate reporting. Pedal edema is common, bed rest is not always needed, and sodium restriction is secondary.

Question 4 of 5

A client with benign prostatic hypertrophy has been started on Proscar (finasteride). The nurse's discharge teaching should include:

A. Telling the client's wife not to touch the tablets B. Explaining that the medication should be taken with meals C. Telling the client that symptoms will improve in 1-2 weeks D. Instructing the client to take the medication at bedtime, to prevent nocturia

Correct Answer: A

Rationale: Finasteride tablets should not be handled by pregnant women due to the risk of fetal harm. Symptom improvement takes months, not weeks, and the medication can be taken with or without food or at any time.

Question 5 of 5

The nurse is preparing to receive a client from admitting with tumor lysis syndrome (TLS). Which of the following would the nurse expect to find on the laboratory and patient history sections of the chart?

A. Low blood pressure B. Hyperactivity C. Hyperkalemia D. Hyperuricemia E. Mental changes

Correct Answer: A,C,D,E

Rationale: TLS causes hyperkalemia (
C), hyperuricemia (
D), and mental changes (E) due to electrolyte imbalances and low blood pressure (
A) from fluid shifts. Hyperactivity (
B) is not typical.

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