NCLEX-RN
Best NCLEX RN Question Bank Questions
Extract:
Question 1 of 5
A client with a history of chronic kidney disease is prescribed calcitriol (Rocaltrol). The nurse should instruct the client to:
Correct Answer: A
Rationale: Calcitriol can cause hypercalcemia, requiring monitoring for symptoms like confusion.
Question 2 of 5
A client with pneumonia is receiving oxygen therapy. The nurse notes cyanosis and a respiratory rate of 32 breaths/min. What should the nurse do first?
Correct Answer: B
Rationale: Cyanosis and tachypnea indicate worsening hypoxia, requiring immediate physician notification to adjust treatment.
Question 3 of 5
The nurse reviewing the electrocardiogram (ECG) rhythm strip of a client with a history of a myocardial infarction (MI) notes that the PR intervals are 0.16 seconds. The nurse should arrive at which interpretation of this assessment data?
Correct Answer: A
Rationale: The PR interval represents the time it takes for the cardiac impulse to spread from the atria to the ventricles. The PR interval range is 0.12 to 0.2 seconds.
Therefore, the finding is normal. The remaining options all indicate an abnormal finding, so they are not appropriate responses.
Question 4 of 5
A client with a history of heart failure is prescribed carvedilol (Coreg). The nurse should instruct the client to:
Correct Answer: A
Rationale: Carvedilol can cause hypotension, requiring regular blood pressure monitoring.
Question 5 of 5
A client with a history of heart failure is prescribed spironolactone (Aldactone). Which electrolyte imbalance should the nurse monitor for?
Correct Answer: B
Rationale: Spironolactone, a potassium-sparing diuretic, can cause hyperkalemia, requiring monitoring to prevent arrhythmias.