NCLEX-RN
RN NCLEX Practice Questions Questions
Extract:
Question 1 of 5
A client in cardiac arrest is given 40 units of vasopressin (Pitressin) IV push. The nurse knows the desired action of this medication in a cardiac arrest is to
Correct Answer: A
Rationale: Vasopressin, used in cardiac arrest, is a vasopressor that raises blood pressure by vasoconstriction, improving perfusion during CPR.
Question 2 of 5
A client with heart failure has a left ventricular ejection fraction of 38%. When educating the client about managing the condition, which of the following advice should the nurse include? Select all that apply.
Correct Answer: A,B,D
Rationale: Rest periods (
A), avoiding strenuous activities (
B), and stopping smoking (
D) manage heart failure. All exercise (
C) is not stopped; moderate activity is encouraged. Alcohol should be minimal, not 2-3 drinks (E).
Question 3 of 5
The nurse is caring for a client who abuses narcotics. The client is exhibiting a respiratory rate of 10 and dilated pupils. Which drug would the nurse expect to administer?
Correct Answer: B
Rationale: Respiratory depression (rate of 10) and dilated pupils suggest opioid overdose. Naloxone (Narcan) is the antidote to reverse opioid toxicity.
Question 4 of 5
The physician has ordered Dilantin (phenytoin) for a client with generalized seizures. When planning the client's care the nurse should:
Correct Answer: D
Rationale: Dilantin can cause gingival hyperplasia, so oral hygiene and gum care are essential to prevent complications.
Question 5 of 5
The rationale for inserting a French catheter every hour for the client with epidural anesthesia is:
Correct Answer: C
Rationale: Epidural anesthesia can reduce bladder sensation, necessitating frequent catheterization to prevent overdistension.