NCLEX RN· Full Length · NCLEX RN Exam Questions
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Showing all 10 practice questions with expert explanatory rationales.
The nurse is conducting a physical assessment on a client with mild anemia. Which of the following would the nurse expect to observe?
Expert Explanatory Rationale
Correct Answer: Activity intolerance
A client had a cardiac catheterization with angiography and thrombolytic therapy with streptokinase. The nurse should initiate which of the following interventions immediately after he returns to his room?
Expert Explanatory Rationale
Correct Answer: Monitor the catheterization site every 15 minutes.
A physician's order reads: 0.25 normal saline at 50 mL/hr until discontinued. The nurse is using a microdrip tubing set. How many drops per minute should the nurse administer?
Expert Explanatory Rationale
Correct Answer: 50 gtt/min
A client is being monitored using a central venous pressure monitor. If the CVP is 1 cm of water, the nurse should:
Expert Explanatory Rationale
Correct Answer: Notify the physician immediately
A client with a history of seizures is prescribed levetiracetam (Keppra). Which statement by the client indicates a need for further teaching?
Expert Explanatory Rationale
Correct Answer: "I can stop taking this medication if I feel better."
A 10-year-old has been diagnosed with acute poststreptococcal glomerulonephritis. The clinical findings were proteinuria, moderately elevated blood pressure, and periorbital edema. Which dietary plan is most appropriate for this client?
Expert Explanatory Rationale
Correct Answer: Low-sodium diet
The nurse is preparing to administer both regular and NPH insulin to a client with diabetes. Place in sequence the correct method for completing this task.
Expert Explanatory Rationale
Correct Answer:
A 74-year-old client seen in the emergency room is exhibiting signs of delirium. His family states that he has not slept, eaten, or taken fluids for the past 24 hours. The planning of nursing care for a delirious client is based on which of the following premises?
Expert Explanatory Rationale
Correct Answer: The delirious client is capable of returning to his previous level of functioning.
The nurse is performing an assessment on a client with a history of a thyroidectomy. Which finding suggests the client is experiencing hypocalcemia?
Expert Explanatory Rationale
Correct Answer: Muscle twitching
The mother of a male child with cystic fibrosis tells the nurse that she hopes her son's children won't have the disease. The nurse is aware that:
Expert Explanatory Rationale
Correct Answer: Most of the males with cystic fibrosis are sterile.
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