NCLEX RN Practice Questions

Answer & Rationale:

Option 3 is Correct

Rationale: Hypertension, cardiovascular disease, diabetes mellitus, and obesity are associated with the development of glaucoma. Options 1, 2, and 4 do not identify risk factors associated with this eye disorder.

Test-Taking Strategy: Use the process of elimination. Focusing on the subject, a risk factor associated with glaucoma, will direct you to option 3. If you had difficulty with this question, review the risk factors associated with this disorder.

Answer & Rationale:

Option 2 is Correct

Rationale: Bubbling in the water seal chamber is caused by air passing out of the pleural space into the fluid in the chamber. Intermittent bubbling is normal. It indicates that the system is accomplishing one of its purposes, removing air from the pleural space. Continuous bubbling during inspiration and expiration indicates that an air leak exists. If this occurs, it must be corrected.

Answer & Rationale:

Option 1 is Correct

This question addresses the subcategory Pharmacological and Parenteral Therapies in the Client Needs category Physiological Integrity. Digoxin is a cardiac glycoside that is used to manage and treat heart failure and to control ventricular rates in clients with atrial fibrillation. The most common early manifestations of toxicity include gastrointestinal disturbances such as anorexia, nausea, and vomiting. Neurological abnormalities can also occur early and include fatigue, headache, depression, weakness, drowsiness, confusion, and nightmares. Facial pain, personality changes, and ocular disturbances (photophobia, diplopia, light flashes, halos around bright objects, yellow or green color perception) are also signs of toxicity, but are not early signs.

Answer & Rationale:

Option 2 is Correct

This question addresses the subcategory Physiological Adaptation in the Client Needs category Physiological Integrity. It addresses an alteration in body systems. The normal magnesium level is 1.6 to 2.6 mg/dL. A magnesium level of 3.6 mg/dL indicates hypermagnesemia. Neurological manifestations begin to occur when magnesium levels are elevated and are noted as symptoms of neurological depression, such as drowsiness, sedation, lethargy, respiratory depression, muscle weakness, and areflexia. Bradycardia and hypotension also occur.

Answer & Rationale:

Option 2,3,4,5 is Correct

Rationale: Low-risk therapies are therapies that have no adverse effects and, when implementing care, can be used by the nurse who has training and experience in their use. Low-risk therapies include meditation, relaxation techniques, imagery, music therapy, massage, touch, laughter and humor, and spiritual measures, such as prayer. The other options are not considered low-risk therapies.

Answer & Rationale:

Option1, 2,4,5 is Correct

Rationale: Because of their health and dietary practices, Native Americans, Latino Americans, Hispanic Americans, and African Americans have a high risk of obesity and diabetes mellitus. Asian Americans have a lower risk for obesity and diabetes mellitus.

Test-Taking Strategy: Focus on the subject, those with a high risk for diabetes mellitus and obesity. Think about the health and dietary practices of each cultural group and note the ages of each client in the options to direct you to the correct option.

Review: The health risks for various ethnic groups