NCLEX RN Practice Questions
Here’s authentic collection of NCLEX Practice Questions/Quiz, Page 1, you can take these Practice Questions for your upcoming Licensure exams for Free.
We Suggest you to try and answer all the Questions given below. These Practice Questions will help you sharpen your critical thinking so that questions appear familiar during the actual exams.
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Q # 411:
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1. Question
A client is diagnosed with glaucoma. Which of the following assessment data gathered by a nurse identifies a risk factor associated with this eye disorder?
CorrectAnswer & 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.
IncorrectAnswer & 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.
Q # 412:
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1. Question
A nurse is monitoring the chest tube drainage system in a client with a chest tube. The nurse notes intermittent bubbling in the water seal chamber. Which of the following is the appropriate action?
CorrectAnswer & 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.
IncorrectAnswer & 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.
Q # 413:
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1. Question
The nurse monitors a client receiving digoxin (Lanoxin) for which early manifestation of digoxin toxicity?
CorrectAnswer & 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.
IncorrectAnswer & 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.
Q # 414:
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1. Question
A client with renal insufficiency has a magnesium level of 3.6 mg/dL. On the basis of this laboratory result, the nurse interprets which sign as significant?
CorrectAnswer & 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.
IncorrectAnswer & 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.
Q # 415:
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1. Question
The nurse identifies low-risk therapies to a client and should include which therapy(s) in the discussion? Select all that apply.
CorrectAnswer & 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.
IncorrectAnswer & 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.
Q # 416:
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1. Question
Which client(s) has a high risk of obesity and diabetes mellitus? Select all that apply.
CorrectAnswer & 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
IncorrectAnswer & 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