NCLEX-RN
NCLEX RN Exam Questions Questions
Extract:
Question 1 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 2 of 5
A client with Addison's disease is receiving Solu-Medrol (methylprednisolone). Which of the following interventions would the nurse implement?
Correct Answer: C
Rationale: Addison’s disease involves adrenal insufficiency and methylprednisolone replaces deficient corticosteroids. Monitoring sodium and potassium levels is essential as Addison’s can cause hyperkalemia and hyponatremia which may be affected by steroid therapy.
Question 3 of 5
The nurse is teaching a client with osteoporosis about dietary modifications. Which food should the client be encouraged to include?
Correct Answer: C
Rationale: Dairy products are rich in calcium, essential for bone health in osteoporosis. Citrus fruits provide vitamin C, red meat offers iron, and whole grains supply fiber, but they are less critical for bone density.
Question 4 of 5
The nurse is teaching a client with type 1 diabetes about insulin administration. Which statement by the client indicates a need for further teaching?
Correct Answer: D
Rationale: In type 1 diabetes, insulin requirements may change during illness, and skipping doses without medical guidance can lead to ketoacidosis. The other statements are correct: rotating sites prevents lipodystrophy, checking blood sugar guides dosing, and mixing insulins is allowed.
Question 5 of 5
The nurse is preparing to administer a dose of lorazepam (Ativan) for anxiety. Which assessment is most important before administration?
Correct Answer: B
Rationale: Lorazepam, a benzodiazepine, can cause respiratory depression, so assessing respiratory rate is critical before administration. Other vital signs are monitored but are less specific.