NCLEX-RN
NCLEX RN Exam Questions Questions
Extract:
Question 1 of 5
A 42-year-old male client has been treated at an alcoholic rehabilitation center for physiological alcohol dependence. The nurse will be able to determine that he is preparing for discharge and is effectively coping with his problem when he shares with her the following information:
Correct Answer: A
Rationale: The client has insight into the severity of his alcohol addiction and has chosen one of the most effective treatment strategies to support him--Alcoholics Anonymous.
Question 2 of 5
A client is being monitored using a central venous pressure monitor. If the CVP is 1 cm of water, the nurse should:
Correct Answer: A
Rationale: A CVP of 1 cm of water (normal range 2–8 mmHg or 3–10 cm H2O) is low, suggesting hypovolemia or decreased venous return. The nurse should notify the physician immediately for further evaluation and possible fluid administration.
Question 3 of 5
Which of the following should the nurse anticipate receiving as an as-needed order for a postoperative carotid endarterectomy client?
Correct Answer: A
Rationale: It is important to maintain a normal to slightly lower pressure to prevent the graft from blowing and excessive pressure to surgical vascular areas. (B, C,
D) None of these drugs is related to managing the problem at hand. Also, none of the problems for which these drugs would be indicated is expected with this type of surgery, except if there is a prior history.
Question 4 of 5
A client is experiencing mucosal cell damage secondary to chemotherapy. Because of mucosal ulcers, eating has become increasingly uncomfortable for her. Which of the following interventions would be most effective in getting her to eat?
Correct Answer: B
Rationale: Such a diet is less irritating to the damaged mucosa and is easier for the child to tolerate, promoting eating despite discomfort.
Question 5 of 5
A client with Crohn's disease requires TPN to provide adequate nutrition. The nurse finds the TPN bag empty. What fluid would the nurse select to hang until another bag is prepared in the pharmacy?
Correct Answer: C
Rationale: D10W provides glucose to prevent hypoglycemia when TPN is interrupted, as TPN contains high dextrose. Lactated Ringers (
A), normal saline (
B), and Normosol R (
D) lack sufficient glucose.