NCLEX-RN
RN NCLEX Next Gen Questions Questions
Question 1 of 5
A nulliparous client visiting the clinic tells the nurse that she stopped taking oral contraceptives 6 months ago but doesn't think she is ovulating. Which of the following should the nurse anticipate that the physician would order if the client is anovulatory?
Correct Answer: B
Rationale: Clomiphene citrate is commonly prescribed to stimulate ovulation in anovulatory clients. Denestrol is an estrogen, medroxyprogesterone is a progestin for contraception or other uses, and norgestrel is a contraceptive, not for inducing ovulation.
Question 2 of 5
A client with a history of chronic obstructive pulmonary disease (COPD) is admitted with pneumonia. The nurse should monitor the client for which of the following complications?
Correct Answer: A
Rationale: Clients with COPD are at risk for hypercapnia (elevated CO2 levels) during pneumonia due to impaired gas exchange, which can worsen respiratory distress.
Question 3 of 5
Which nursing action is most essential for the hospitalized client with a new tracheostomy?
Correct Answer: D
Rationale: Maintaining a patent airway is the most critical action for a client with a new tracheostomy to ensure adequate oxygenation. Other actions are important but secondary to airway patency.
Question 4 of 5
A client is at risk for development of metabolic alkalosis because of persistent vomiting. The nurse should assess the client specifically for:
Correct Answer: B
Rationale: Persistent vomiting causes loss of hydrochloric acid, leading to metabolic alkalosis, which can manifest as hyperventilation as the body compensates for elevated pH.
Question 5 of 5
The nurse is assessing a client with a suspected tension pneumothorax. Which of the following findings is most indicative of this condition?
Correct Answer: B,D
Rationale: Tracheal deviation to the unaffected side and absent breath sounds on the affected side are hallmark signs of tension pneumothorax due to mediastinal shift and lung collapse.