NCLEX-RN
Practice NCLEX RN Test Questions
Extract:
Question 1 of 5
A client on a mechanical ventilator begins to fight the ventilator. Which medication will be ordered for the client?
Correct Answer: B
Rationale: Pavulon, a neuromuscular blocker, is used to paralyze respiratory muscles in clients fighting the ventilator, ensuring effective ventilation.
Question 2 of 5
A client requires long-term use of corticosteroids. The nurse explains which of the following is associated with chronic corticosteroid therapy?
Correct Answer: D
Rationale: Chronic corticosteroid use causes osteoporosis due to bone density loss. Weight gain (not inability), not fever or hypotension, is more common.
Question 3 of 5
A new graduate nurse is assigned to a 30-year-old female requiring NG tube feeding. The preceptor reminds the graduate nurse to check placement of the NG tube before administering the feeding. The best way to do this is by
Correct Answer: B
Rationale: Aspirating gastric contents and checking pH (≤5.5 indicates gastric placement) is the most reliable bedside method to confirm NG tube placement.
Question 4 of 5
A client with preeclampsia has been receiving an infusion containing magnesium sulfate for a blood pressure that is 160/80; deep tendon reflexes are 1 plus, and the urinary output for the past hour is 100 mL. The nurse should:
Correct Answer: A
Rationale: The parameters (BP 160/80, 1+ reflexes, 100 mL urine output) are within acceptable limits, so the infusion should continue.
Question 5 of 5
A nurse is caring for a 37-year-old woman with metastatic ovarian cancer admitted for nausea and vomiting. The physician orders total parenteral nutrition (TPN), a nutritional consult, and diet recall. Which of the following is the BEST indication that the patient’s nutritional status has improved after 4 days?
Correct Answer: C
Rationale: albumin levels are best indicators of long-term nutritional status