NCLEX NCLEX-RN Exam (page: 19)
NCLEX National Council Licensure Examination - -RN
Updated on: 15-Feb-2026

Viewing Page 19 of 345

Signs and symptoms of an allergy attack include which of the following?

  1. Wheezing on inspiration
  2. Increased respiratory rate
  3. Circumoral cyanosis
  4. Prolonged expiration

Answer(s): D

Explanation:

(A) Wheezing occurs during expiration when air movement is impaired because of constricted edematous bronchial lumina. (B) Respirations are difficult, but the rate is frequently normal. (C) The circumoral area is usually pale. Cyanosis is not an early sign of hypoxia. (D) Expiration is prolonged because the alveoli are greatly distended and air trapping occurs.



Signs and symptoms of an allergy attack include which of the following?

  1. Wheezing on inspiration
  2. Increased respiratory rate
  3. Circumoral cyanosis
  4. Prolonged expiration

Answer(s): D

Explanation:

(A) Wheezing occurs during expiration when air movement is impaired because of constricted edematous bronchial lumina. (B) Respirations are difficult, but the rate is frequently normal. (C) The circumoral area is usually pale. Cyanosis is not an early sign of hypoxia. (D) Expiration is prolonged because the alveoli are greatly distended and air trapping occurs.



The priority nursing goal when working with an autistic child is:

  1. To establish trust with the child
  2. To maintain communication with the family
  3. To promote involvement in school activities
  4. To maintain nutritional requirements

Answer(s): A

Explanation:

(A) The priority nursing goal when working with an autistic child is establishing a trusting relationship. (B) Maintaining a relationship with the family is important but having the trust of the child is a priority. (C) To promote involvement in school activities is inappropriate for a child who is autistic. (D) Maintaining nutritional requirements is not the primary problem of the autistic child.



The priority nursing goal when working with an autistic child is:

  1. To establish trust with the child
  2. To maintain communication with the family
  3. To promote involvement in school activities
  4. To maintain nutritional requirements

Answer(s): A

Explanation:

(A) The priority nursing goal when working with an autistic child is establishing a trusting relationship. (B) Maintaining a relationship with the family is important but having the trust of the child is a priority. (C) To promote involvement in school activities is inappropriate for a child who is autistic. (D) Maintaining nutritional requirements is not the primary problem of the autistic child.



A client is 6 weeks pregnant. During her first prenatal visit, she asks, "How much alcohol is safe to drink during pregnancy?" The nurse's response is:

  1. Up to 1 oz daily
  2. Up to 2 oz daily
  3. Up to 4 oz weekly
  4. No alcohol

Answer(s): D

Explanation:

(A, B, C) No amount of alcohol has been determined safe for pregnant women. Alcohol should be avoided owing to the risk of fetal alcohol syndrome. (D) The recommended safe dosage of alcohol consumption during pregnancy is none.



Viewing Page 19 of 345



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