NCLEX-RN
RN NCLEX Practice Test Questions
Extract:
Question 1 of 5
A client has viral encephalitis and has been prescribed IV acyclovir (Zovirax). What nursing interventions should be used when administering the drug?
Correct Answer: A, B, C, E
Rationale: Acyclovir requires slow infusion (
A) to prevent phlebitis, adequate hydration (
B) to reduce nephrotoxicity, monitoring for neurotoxicity (
C), and caution in renal insufficiency (E). Heart rate (
D) is unrelated.
Question 2 of 5
A client is admitted to the hospital with diabetic ketoacidosis. The emergency room nurse should anticipate the administration of:
Correct Answer: B
Rationale: Regular insulin is rapid acting and indicated in an emergency situation.
Question 3 of 5
A client is resting comfortably after delivering her first child. When assessing her pulse rate, the nurse would recognize the following finding to be typical:
Correct Answer: D
Rationale: Puerperal bradycardia with rates of 50-70 bpm commonly occurs during the first 6-10 days of the postpartal period. It may be related to decreased cardiac strain, decreased blood volume, contraction of the uterus, and increased stroke volume.
Question 4 of 5
Which of the following serum laboratory values would the nurse monitor during gentamicin therapy?
Correct Answer: A
Rationale: A common side effect of gentamicin is nephrotoxicity. The serum laboratory test that best reflects kidney function is serum creatinine.
Question 5 of 5
The nurse is assessing breath sounds in a bronchovesicular client. She should expect that:
Correct Answer: D
Rationale: Inspiration is normally longer in vesicular areas. High-pitched sounds are normal in bronchial area. Muffled sounds are considered abnormal. Inspiration and expiration are equal normally in this area, and sounds are medium pitched.