PART 8: NCLEX-PN PRACTICE
QUESTIONS (25 ITEMS)
1. Question
Which finding is the best indication that a client with ineffective
airway clearance needs suctioning?
o A. Oxygen saturation
o B. Respiratory rate
o C. Breath sounds
o D. Arterial blood gases
Correct Answer: C. Breath sounds
Option C: Changes in breath sounds such as crackles
are the best indication of the need for suctioning in
the client with ineffective airway clearance.
Options A, B, and D: They can be altered by other
conditions.
2. 2. Question
A client with tuberculosis has a prescription for Myambutol
(ethambutol HCl). The nurse should tell the client to notify the
doctor immediately if he notices:
A. Tingling sensation in the feet
B. Changes in hearing
C. Red discoloration of bodily fluids
D. Changes in color vision
Correct Answer: D. Changes in color vision
, Option D: Myambutol is used in conjunction with at
least one other anti TB drug. An adverse reaction to
Myambutol is a change in visual acuity or color vision.
Option A: Peripheral neuropathy is an adverse effect of
isoniazid.
Option B: Ototoxicity is an adverse reaction to
Streptomycin.
Option C: Red discoloration of fluids is a side effect of
Rifampin.
3. 3. Question
The primary cause of anemia in a client with chronic renal failure
is:
A. Poor iron absorption
B. Destruction of red blood cells
C. Insufficient erythropoietin
D. Lack of intrinsic factor
Correct Answer: C. Insufficient erythropoietin
Option C: Kidneys produce erythropoietin, a hormone
that is responsible for making red blood cells. When a
patient has a chronic renal failure, their kidneys are
damaged and cannot make enough RBC resulting in
anemia.
Option A: Poor iron absorption will result in iron
deficiency anemia.
Option B: Destruction of red blood cells usually results
in hemolytic anemia.
Option D: Lack of intrinsic factor will result in
pernicious anemia and vitamin B12 deficiency.
4. 4. Question
Which of the following nursing interventions has
the highest priority for the client scheduled for an intravenous
pyelogram?
QUESTIONS (25 ITEMS)
1. Question
Which finding is the best indication that a client with ineffective
airway clearance needs suctioning?
o A. Oxygen saturation
o B. Respiratory rate
o C. Breath sounds
o D. Arterial blood gases
Correct Answer: C. Breath sounds
Option C: Changes in breath sounds such as crackles
are the best indication of the need for suctioning in
the client with ineffective airway clearance.
Options A, B, and D: They can be altered by other
conditions.
2. 2. Question
A client with tuberculosis has a prescription for Myambutol
(ethambutol HCl). The nurse should tell the client to notify the
doctor immediately if he notices:
A. Tingling sensation in the feet
B. Changes in hearing
C. Red discoloration of bodily fluids
D. Changes in color vision
Correct Answer: D. Changes in color vision
, Option D: Myambutol is used in conjunction with at
least one other anti TB drug. An adverse reaction to
Myambutol is a change in visual acuity or color vision.
Option A: Peripheral neuropathy is an adverse effect of
isoniazid.
Option B: Ototoxicity is an adverse reaction to
Streptomycin.
Option C: Red discoloration of fluids is a side effect of
Rifampin.
3. 3. Question
The primary cause of anemia in a client with chronic renal failure
is:
A. Poor iron absorption
B. Destruction of red blood cells
C. Insufficient erythropoietin
D. Lack of intrinsic factor
Correct Answer: C. Insufficient erythropoietin
Option C: Kidneys produce erythropoietin, a hormone
that is responsible for making red blood cells. When a
patient has a chronic renal failure, their kidneys are
damaged and cannot make enough RBC resulting in
anemia.
Option A: Poor iron absorption will result in iron
deficiency anemia.
Option B: Destruction of red blood cells usually results
in hemolytic anemia.
Option D: Lack of intrinsic factor will result in
pernicious anemia and vitamin B12 deficiency.
4. 4. Question
Which of the following nursing interventions has
the highest priority for the client scheduled for an intravenous
pyelogram?
