NCLEX-RN
NCLEX RN Practice Questions Questions
Extract:
Question 1 of 5
Which one of the following clients is most likely to develop acute respiratory distress syndrome?
Correct Answer: D
Rationale: Barbiturate overdose can lead to ARDS due to prolonged hypoventilation, causing lung injury from hypoxia and aspiration risk.
Question 2 of 5
The nurse is caring for a client scheduled for a surgical repair of a sacular abdominal aortic aneurysm. Which assessment is most crucial during the preoperative period?
Correct Answer: C
Rationale: Identifying peripheral pulses is critical to assess baseline circulation, as an abdominal aortic aneurysm can affect distal blood flow.
Question 3 of 5
The nurse is performing the skill of intramuscular injection by the Z track method. Which technique would the nurse utilize to prevent tracking of the medication?
Correct Answer: D
Rationale: The Z-track method involves drawing up 0.2 mL of air to create an air lock, preventing medication leakage into subcutaneous tissue. The other options don't address tracking.
Question 4 of 5
The mother of a 1-year-old with sickle cell anemia wants to know why the condition didn't show up in the nursery. The nurse's response is based on the knowledge that:
Correct Answer: D
Rationale: Fetal hemoglobin, present in newborns, inhibits sickling, masking sickle cell anemia symptoms until fetal hemoglobin decreases after several months.
Question 5 of 5
A client with chronic kidney disease has just been admitted to the floor. The admitting nurse reviews a list of OTC medications the client takes at home and is concerned when he sees
Correct Answer: A
Rationale: Mylanta contains magnesium and aluminum, which can accumulate in kidney disease, causing toxicity. Other medications are less concerning in this context.