NCLEX-RN
NCLEX RN Practice Questions
Extract:
Question 1 of 5
A client in the recovery ICU is on mechanical ventilation. The nurse notices the client has frothy secretions around his mouth, and the nurse hears adventitious breath sounds with the stethoscope. The nurse should
Correct Answer: B
Rationale: Frothy secretions and adventitious sounds suggest airway obstruction or pulmonary edema. Suctioning clears the endotracheal tube, improving ventilation.
Question 2 of 5
A client asks what diabetes mellitus does to the body over time. Which condition should the nurse include in teaching as a common chronic complication of diabetes mellitus?
Correct Answer: D
Rationale: Retinopathy is a common chronic complication of diabetes due to long-term damage to retinal blood vessels, unlike the acute conditions listed.
Question 3 of 5
The physician has ordered Eskalith (lithium carbonate) 500 mg three times a day and Risperdal (risperidone) 2 mg twice daily for a client admitted with bipolar disorder, acute manic episodes. The best explanation for the client's medication regimen is:
Correct Answer: B
Rationale: Risperidone controls acute manic symptoms like agitation, while lithium stabilizes mood over time, a common combination for bipolar mania.
Question 4 of 5
A client has orders for ampicillin 350 mg IM daily. The directions state to reconstitute with 3.5 mL of sterile water for a concentration of 500 mg/mL. How much will the nurse give?
Correct Answer: 0.7 mL
Rationale: Concentration: 500 mg/mL. Dose: 350 mg. Volume = 350 mg ÷ 500 mg/mL = 0.7 mL.
Question 5 of 5
A client is admitted with acute adrenal crisis. During the intake assessment, the nurse can expect to find that the client has:
Correct Answer: A
Rationale: Acute adrenal crisis causes low blood pressure due to insufficient cortisol and aldosterone, leading to hypovolemia and shock.