NCLEX RN Questions with Detailed Explanations
Question 1 of 5.
The nurse is assessing a client with a diagnosis of polycythemia vera. Which clinical manifestation should the nurse expect to note in this client?
A. Pallor
B. Hypertension
C. A low hematocrit level
D. Pale mucous membranes
Explanation: Polycythemia vera is a myeloproliferative disease that causes increased blood viscosity and blood volume. Manifestations of polycythemia vera include a ruddy complexion, dusky red mucosa, hypertension, dizziness, headache, and a sense of fullness in the head. Signs of heart failure may also be present. The hematocrit level is usually greater than 54% in men and 49% in women.
Question 2 of 5.
Which member of the multidisciplinary team would you most likely collaborate with when your pediatric client has had a traumatic amputation one or more months ago?
A. A Pedorthist
B. A pediatric nurse practitioner
C. A trauma certified clinical nurse specialist
D. A prosthetist
Explanation: A prosthetist specializes in designing and fitting prosthetic limbs, making them the most appropriate team member to collaborate with for a pediatric client with a traumatic amputation.
Question 3 of 5.
Number the priority of the following conditions using the numbers # 1 through # 6 with # 1 as the greatest priority and # 6 as the least priority. 1. Atrial fibrillation 2. First degree heart block 3. Shortness of breath upon exertion 4. An obstructed airway 5. Fluid needs 6. Respect and esteem by others
A. 3,4,2,1,5,6
B. 3,4,5,1,2,6
C. 2,3,5,1,4,6
D. 3,2,4,1,5,6
Explanation: Using the ABC (Airway, Breathing, Circulation) priority framework and Maslow's hierarchy, the correct order is: An obstructed airway (4, #1, life-threatening), Shortness of breath upon exertion (3, #2, breathing issue), Fluid needs (5, #3, physiological need), Atrial fibrillation (1, #4, potential circulatory issue), First degree heart block (2, #5, often asymptomatic), Respect and esteem by others (6, #6, psychological need). Thus, B (3,4,5,1,2,6) is correct.
Question 4 of 5.
Which of these statements related to information technology is accurate?
A. Social networks and cell phone cameras pose low risk in terms of information technology security and confidentiality.
B. The security of technological data and information in healthcare environments is most often violated by those who work there.
C. The security of technological data and information in healthcare environments is most often violated by computer hackers.
D. Computer data deletion destroys all evidence of the data.
Explanation: The most common breaches of healthcare data security occur internally by staff , through actions like unauthorized access or improper handling of information, rather than external hackers or low-risk social media . Data deletion does not always destroy all evidence.
Question 5 of 5.
Your client has an allergy to both penicillin and latex. Which of these pathophysiological facts should you apply when you are providing to this client?
A. The sensitizing dose of penicillin can lead to anaphylaxis.
B. The second dose of penicillin can lead to distributive shock.
C. You should be aware of the fact that about 10% of the population has an allergy to both penicillin and latex.
D. You should be aware of the fact that about 20% of the population has an allergy to both penicillin and latex.
Explanation: A sensitizing dose of penicillin can lead to anaphylaxis , a life-threatening allergic reaction, which is critical to consider when caring for a client with a penicillin allergy. The prevalence of dual allergies (C, D) is not accurate, and distributive shock is not specific to a second dose.
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