NCLEX-PN 2021 Exam Questions Set 8-Final 25

NCLEX-PN 2021 Exam Questions Set 8-Final (25 Items)

• Question

Which finding is the best indication that a client with ineffective airway clearance needs suctioning?• A. Oxygen saturation • B. Respiratory rate • C. Breath sounds • 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.

• 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.

• 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.

• Question

Which of the following nursing interventions has the highest priority for the client scheduled for an intravenous pyelogram?• A. Providing the client with a favorite meal for dinner • B. Asking if the client has allergies to shellfish • C. Encouraging fluids the evening before the test • D. Telling the client what to expect during the test

Correct Answer: B. Asking if the client has allergies to shellfish

• Option B: The contrast media used during an intravenous pyelogram

contains iodine, which can result in an anaphylactic reaction.

• Options A, C, and D: They do not relate specifically to the test.