NCLEX-RN
Practice NCLEX RN Test Questions
Extract:
Question 1 of 5
A client with a head injury develops syndrome of inappropriate antidiuretic hormone (SIADH). Which physician prescription would the nurse question?
Correct Answer: A
Rationale: D5W at 200 mL/hr is inappropriate for SIADH, as it can worsen hyponatremia by adding free water. The other options are appropriate for monitoring and treating SIADH.
Question 2 of 5
A client with chest pain is scheduled for a heart catheterization. Which of the following would the nurse include in the client's care plan?
Correct Answer: D
Rationale: During heart catheterization, the client may be asked to cough or breathe deeply to facilitate dye movement or assess respiratory response, a key part of preparation.
Question 3 of 5
The nurse is caring for a client receiving hemodialysis. During hemodialysis, the client becomes anxious, experiencing tachypnea and hypotension. The nurse suspects which complication of hemodialysis?
Correct Answer: D
Rationale: Disequilibrium syndrome can occur during hemodialysis due to rapid shifts in fluids and electrolytes, causing symptoms like anxiety, tachypnea, and hypotension.
Question 4 of 5
The chest tube drainage system has continuous bubbling in the water seal chamber. When the nurse clamps different areas of the tube to find out where the bubbling stops, he is checking for:
Correct Answer: A
Rationale: Continuous bubbling in the water seal chamber indicates an air leak, either from the lung or the system. Clamping helps locate the source of the leak.
Question 5 of 5
The nurse is changing the ties of the client with a tracheotomy. The safest method of changing the tracheotomy ties is to:
Correct Answer: A
Rationale: Applying the new tie before removing the old one ensures the tracheotomy tube remains secure, preventing accidental dislodgement.