NCLEX-RN
NCLEX RN Exam Questions Questions
Question 1 of 5
The nurse is caring for a client with a history of chronic obstructive pulmonary disease (COPD). The nurse should expect the client to have:
Correct Answer: A
Rationale: COPD causes air trapping, leading to a barrel chest due to hyperinflated lungs.
Question 2 of 5
The nurse is preparing to administer a dose of vancomycin (Vancocin) IV. Which assessment is most important before administration?
Correct Answer: B
Rationale: Vancomycin is nephrotoxic, so renal function tests (e.g., creatinine) are critical before administration to prevent kidney damage. Liver tests, WBC, and platelets are less directly related.
Question 3 of 5
A 30-year-old client has been admitted to the psychiatric service with the diagnosis of schizophrenia. He tells the nurse that when the woman he had been dating broke up with him, the CIA had replaced her with an identical twin. The client is experiencing:
Correct Answer: B
Rationale: There are no indications that the client's thoughts reflect special powers or talents characteristic of grandiosity. The client's thought content is fixed, false, persecutory, and suspicious in nature, which is characteristic of paranoid delusions. (C,
D) The client is not demonstrating a sensory experience.
Question 4 of 5
The nurse is teaching a client with type 1 diabetes about insulin administration. Which statement by the client indicates a need for further teaching?
Correct Answer: D
Rationale: In type 1 diabetes, insulin requirements may change during illness, and skipping doses without medical guidance can lead to ketoacidosis. The other statements are correct: rotating sites prevents lipodystrophy, checking blood sugar guides dosing, and mixing insulins is allowed.
Question 5 of 5
The nurse is teaching a client with a new colostomy about appliance care. Which instruction should be included?
Correct Answer: B
Rationale: Emptying the colostomy pouch when one-third to one-half full prevents leakage and skin irritation. Changing every 12 hours is excessive, soap may leave residue, and lotion can interfere with adhesion.