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NCLEX NCLEX-RN Exam
National Council Licensure Examination - NCLEX-RN (Page 54 )

Updated On: 12-Jan-2026
Page 54 of 345
PDF with 862 Questions

The nurse practitioner determines that a client is approximately 9 weeks' gestation. During the visit, the practitioner informs the client about symptoms of physical changes that she will experience during her first trimester, such as:

  1. Nausea and vomiting
  2. Quickening
  3. A 6­8 lb weight gain
  4. Abdominal enlargement

Answer(s): A

Explanation:

(A) Nausea and vomiting are experienced by almost half of all pregnant women during the first 3 months of pregnancy as a result of elevated human chorionic gonadotropin levels and changed carbohydrate metabolism. (B) Quickening is the mother's perception of fetal movement and generally does not occur until 18­20 weeks after the last menstrual period in primigravidas, but it may occur as early as 16 weeks in multigravidas. (C) During the first trimester there should be only a modest weight gain of 2­4 lb. It is not uncommon for women to lose weight during the first trimester owing to nausea and/or vomiting. (D) Physical changes are not apparent until the second trimester, when the uterus rises out of the pelvis.



The following medications were noted on review of the client's home medication profile. Which of the medications would most likely potentiate or elevate serum digoxin levels?

  1. KCl
  2. Thyroid agents
  3. Quinidine
  4. Theophylline

Answer(s): C

Explanation:

(A) Hypokalemia can cause digoxin toxicity. Administration of KCl would prevent this. (B) Thyroid agents decrease digoxin levels. (C) Quinidine increases digoxin levels dramatically. (D) Theophylline is not noted to have an effect on digoxin levels.



Hypoxia is the primary problem related to near-drowning victims. The first organ that sustains irreversible damage after submersion in water is the:

  1. Kidney (urinary system)
  2. Brain (nervous system)
  3. Heart (circulatory system)
  4. Lungs (respiratory system)

Answer(s): B

Explanation:

(A) The kidney can survive after 30 minutes of water submersion. (B) The cerebral neurons sustain irreversible damage after 4­6 minutes of water submersion. (C) The heart can survive up to 30 minutes of water submersion. (D) The lungs can survive up to 30 minutes of water submersion.



A type I diabetic client is diagnosed with cellulitis in his right lower extremity. The nurse would expect which of the following to be present in relation to his blood sugar level?

  1. A normal blood sugar level
  2. A decreased blood sugar level
  3. An increased blood sugar level
  4. Fluctuating levels with a predawn increase

Answer(s): C

Explanation:

(A) Blood sugar levels increase when the body responds to stress and illness. (B) Blood sugar levels increase when the body responds to stress and illness. (C) Hyperglycemia occurs because glucose is produced as the body responds to the stress and illness of cellulitis. (D) Blood sugar levels remain elevated as long as the body responds to stress and illness.



The initial treatment for a client with a liquid chemical burn injury is to:

  1. Irrigate the area with neutralizing solutions
  2. Flush the exposed area with large amounts of water
  3. Inject calcium chloride into the burned area
  4. Apply lanolin ointment to the area

Answer(s): B

Explanation:

(A) In the past, neutralizing solutions were recommended, but presently there is concern that these solutions extend the depth of burn area. (B) The use of large amounts of water to flush the area is recommended for chemical burns. (C) Calcium chloride is not recommended therapy and would likely worsen the problem. (D) Lanolin is of no benefit in the initial treatment of a chemical injury and may actually extend a thermal injury.



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