NCLEX-RN
Physiological NCLEX RN Questions Questions
Question 1 of 5
The nurse is caring for a 52-year-old African American male newly diagnosed with hypertension. He has a history of chronic kidney disease and diabetes. The nurse would expect to see which medication order for this client?
Correct Answer: D
Rationale: Enalapril and amlodipine (
D) are suitable for hypertension in a patient with CKD and diabetes, as ACE inhibitors protect kidneys and calcium channel blockers are effective. Amiloride (
B) risks hyperkalemia, and atenolol (
C) is less preferred in diabetes.
Question 2 of 5
The nurse is caring for a client with abdominal aortic aneurysm. Which observation by the nurse indicates the need for immediate intervention?
Correct Answer: D
Rationale: Sudden, severe back pain and shortness of breath (
D) suggest aneurysm rupture, requiring immediate intervention. Yellow vision (
A) is unrelated, frothy sputum (
B) indicates pulmonary edema, and 75 mL/hr urine (
C) is normal.
Question 3 of 5
The nurse is providing dietary teaching to the parents of a 7-year-old child with celiac disease. Which statement by the parents indicate that dietary teaching was successful?
Correct Answer: A
Rationale: Rice (
A) is gluten-free and safe for celiac disease. Pretzels (
B), rye bread (
C), and some oats (
D) may contain gluten, which is harmful.
Question 4 of 5
A nurse is reviewing the laboratory reports prior to physician rounds. The serum calcium level of a client with hyperparathyroidism is 14.6 mg/dL. Which treatment should the nurse anticipate?
Correct Answer: C
Rationale: Calcitonin (
C) rapidly lowers severe hypercalcemia (14.6 mg/dL) in hyperparathyroidism. Corticosteroids (
A) are for specific causes, dialysis (
B) is for kidney failure, and bisphosphonates (
D) are slower-acting.
Question 5 of 5
The nurse is caring for a client with a gastric ulcer. Which menu choice by the client indicates an understanding of the nurse's dietary teaching?
Correct Answer: A
Rationale: Yogurt with berries (
A) is bland and non-irritating for gastric ulcers.
Toast/water (
B) is bland but less nutritious, and coffee (
C) and cheese/milk (
D) irritate ulcers.