NCLEX Questions, NCLEX-RN Exam Practice Questions, NCLEX-RN Questions, Nurselytic

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NCLEX-RN Exam Practice Questions

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Question 1 of 5

A client's renal calculi are identified as consisting of calcium phosphate. Which of the following diets would be appropriate?

Correct Answer: D

Rationale: A low-calcium and phosphorus diet will reduce further calculi formation.

Question 2 of 5

A 7-year-old girl has been diagnosed with juvenile arthritis and has been placed on daily aspirin. Which statement made by the parent indicates a need for further teaching?

Correct Answer: B

Rationale: Aspirin should not be given on an empty stomach because it is irritating to the mucosa. Bleeding from decreased clotting capacity may be caused by aspirin toxicity. A regular schedule of aspirin administration is important to maintain a satisfactory drug level in the body. Aspirin toxicity may affect cranial nerve VIII, leading to tinnitus (ringing in the ears).

Question 3 of 5

The nurse is assessing the laboratory results of a client scheduled to receive phenytoin sodium (Dilantin). The Dilantin level, drawn two hours ago, is 30 mcg/mL. What is the appropriate nursing action?

Correct Answer: B

Rationale: A Dilantin level of 30 mcg/mL is toxic (therapeutic range: 10–20 mcg/mL). Holding the dose and notifying the physician prevents toxicity. Administering (
A), decreasing (
C), or increasing (
D) the dose without physician input is unsafe.

Question 4 of 5

A 3-year-old child is hospitalized with burns covering her trunk and lower extremities. Which of the following would the nurse use to assess adequacy of fluid resuscitation in the burned child?

Correct Answer: C

Rationale: Blood pressure can remain normotensive even in a state of hypovolemia. Serum potassium is not reliable for determining adequacy of fluid resuscitation. Urine output, alteration in sensorium, and capillary refill are the most reliable indicators for assessing adequacy of fluid resuscitation. Pulse rate may vary for many reasons and is not a reliable indicator for assessing adequacy of fluid resuscitation.

Question 5 of 5

A client with a history of sarcoidosis is admitted with complaints of dyspnea. The nurse should give priority to:

Correct Answer: A

Rationale: Sarcoidosis can cause lung granulomas, leading to dyspnea, so monitoring respiratory status is critical to assess lung function.

Similar Questions

The nurse is assessing a client with suspected pulmonary edema. Which finding is most expected?
A client diagnosed with severe anemia is to receive 2 U of packed red blood cells. Prior to starting the blood transfusion, the nurse must:
A client with a fractured leg is exhibiting shortness of breath, pain upon deep breathing, and hemoptysis. What do these clinical manifestations indicate to the nurse?
The nurse is preparing to administer a dose of nitroglycerin sublingual to a client with chest pain. Which instruction should be given to the client?
The nurse is developing a plan of care for a client with an electrolyte imbalance and identifies a nursing diagnosis of decreased physical mobility. Which alteration is most likely the etiology?

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