NCLEX-RN
NCLEX RN Practice Questions Quizlet Questions
Extract:
Question 1 of 5
A client is to wear a Holter monitor for continuous cardiac monitoring for 48 hours. The nurse should advise the client to avoid which of the following activities during the monitoring period? Select all that apply.
Correct Answer: C,D
Rationale: Holter monitors can be affected by electromagnetic interference from wireless devices like iPads (
C), so these should be avoided. Showering and bathing (
D) can damage the monitor or electrodes. Watching TV (
A), using a remote control (
B), drinking caffeine (E), and exercising (F) typically do not interfere with monitoring, though exercise should be noted in the activity log.
Question 2 of 5
The physician has ordered Dilantin (phenytoin) 100 mg intravenously for a client with generalized tonic clonic seizures. The nurse should administer the medication:
Correct Answer: C
Rationale: Phenytoin should be administered slowly over 2-3 minutes to prevent cardiovascular complications such as hypotension and arrhythmias.
Question 3 of 5
The nurse is caring for a client who has an order for Diuril. Directions say to reconstitute with 20 mL of sterile water. This will provide a concentration of mg/mL.
Correct Answer: 1
Rationale:
Question 4 of 5
If a client's waist measurement is 38 inches and the hip measurement is 45 inches, what is the client's waist-to-hip ratio. Record your answer rounded to two decimal places.
Correct Answer: 0.84
Rationale: Waist-to-hip ratio = Waist/ Hip = 38/ 45 ≈ 0.844, rounded to 0.84.
Question 5 of 5
The nurse is caring for a client with ascites. Which is the best method to use for determining early ascites?
Correct Answer: C
Rationale: Daily measurement of abdominal girth is the most sensitive method to detect early ascites by tracking subtle increases in abdominal size.