NCLEX-RN
NCLEX RN Practice Questions
Extract:
Question 1 of 5
A client diagnosed with COPD is receiving theophylline. Morning laboratory values reveal a theophylline level of 38 mcg/mL. The most appropriate action by the nurse would be to:
Correct Answer: B
Rationale: A theophylline level of 38 mcg/mL is toxic (therapeutic range: 10-20 mcg/mL), requiring immediate physician notification to prevent complications like seizures.
Question 2 of 5
A client is scheduled for a hypophysectomy following the discovery of a pituitary gland tumor. The nurse is teaching the client about the procedure. Which statement by the client indicates effective learning? Select all that apply.
Correct Answer: A, C, D, E
Rationale: Soft toothbrushing, avoiding bending, not blowing the nose, and mouth breathing due to nasal packing are correct post-hypophysectomy instructions. The nasal pad should not be removed the next morning without orders.
Question 3 of 5
A client who had major abdominal surgery is having delayed healing of the wound. Which laboratory test result would most closely correlate with this problem?
Correct Answer: A
Rationale: Low albumin indicates poor nutritional status, impairing protein synthesis needed for wound healing, directly correlating with delayed healing.
Question 4 of 5
The nurse is teaching a client with a new diagnosis of gout about dietary management. Which of the following foods should the client avoid?
Correct Answer: B
Rationale: sardines are high in purines, which can exacerbate gout by increasing uric acid levels
Question 5 of 5
Following a lumbar puncture, a client develops a severe headache that persists 24 hours and is unrelieved by bedrest or oral fluids. Which of the following interventions does the nurse anticipate?
Correct Answer: C
Rationale: A persistent post-lumbar puncture headache suggests CSF leak, treated with an epidural blood patch (
C). Prolonged bedrest (
A), opioids (
B), or IV fluids (
D) are less effective.