NCLEX-RN
NCLEX RN Practice Questions Questions
Extract:
Question 1 of 5
A client taking furosemide (Lasix) comes into the clinic for routine bloodwork. Which of the following findings indicates an adverse effect of Lasix?
Correct Answer: C
Rationale: Furosemide can increase uric acid levels (normal 3.5-7.2 mg/dL), leading to hyperuricemia, a known adverse effect. Other values are within normal ranges.
Question 2 of 5
The nurse is educating a client about lifestyle modifications to manage hypertension. Which of the following modifications should the nurse recommend? Select all that apply.
Correct Answer: B,C,D,F
Rationale: Hypertension management includes regular aerobic exercise (
B), the DASH diet (
C), weight loss (
D), and smoking cessation (F). Limiting fluids (
A) is not standard, and moderate alcohol (E) is acceptable.
Question 3 of 5
A 62-year-old female with osteoarthritis asks the nurse how she can ease her pain and discomfort. The nurse should include which of the following in the discharge plan for the client? Select all that apply.
Correct Answer: A,B,D,E
Rationale: Healthy weight, aspirin, warm compresses, and moderate exercise (e.g., walking) reduce osteoarthritis pain and stiffness. High-impact exercise (
C) can worsen joint damage.
Question 4 of 5
A client was transferred to the hospital unit as a direct admit from a small community hospital. While the nurse is obtaining part of the admission history information, the client suddenly becomes semiconscious. Assessment reveals a systolic BP of 70, heart rate of 130, and respiratory rate of 24. What is the nurse's initial action?
Correct Answer: B
Rationale: The client's symptoms suggest shock (low BP, high HR, elevated RR). Initiating an IV with a large bore needle allows for rapid fluid resuscitation, which is critical. Lowering the bed may worsen perfusion, notifying the physician delays action, and CPR is premature without pulselessness.
Question 5 of 5
The nurse is monitoring a client following a lung resection. The hourly output from the chest tube was 300 mL. The nurse should give priority to:
Correct Answer: D
Rationale: A chest tube output of 300 mL per hour is excessive and may indicate hemorrhage, requiring immediate physician notification.