NCLEX-RN
NCLEX RN Predictor Exam Questions
Extract:
Question 1 of 5
A client with a history of deep vein thrombosis is admitted with complaints of leg pain. The nurse should give priority to:
Correct Answer: A
Rationale: Anticoagulants prevent clot progression in deep vein thrombosis, making them the priority to reduce the risk of pulmonary embolism.
Question 2 of 5
A client is in active labor and has been admitted to the labor and delivery unit. The RN has just done a sterile vaginal exam and determines that the client is dilated 5 cm, effaced 85%, and the fetus's head is at 0 station. She asks if she could have a lumbar epidural now. The epidural is started, and the anesthetic agent used is bupivacaine (Marcaine). After the client has received her lumbar epidural, it is important for the RN to monitor her for which of the following side effects:
Correct Answer: B
Rationale: Bupivacaine causes vasodilation, which can lead to hypotension, a common side effect that requires close monitoring.
Question 3 of 5
Which of the following would have the physiological effect of decreasing intracranial pressure (ICP)?
Correct Answer: D
Rationale: Hypercapnia and hypoventilation cause retention of CO2, which increases ICP. Decreasing PaCO2 through hyperventilation reduces vasodilation, thereby decreasing ICP. Increased core body temperature, decreased serum osmolality, and hypo-osmolar fluids would increase ICP.
Question 4 of 5
Continuous bladder irrigations are ordered for a patient following a TURP. The purpose of continuous bladder irrigations is to:
Correct Answer: A
Rationale: Continuous bladder irrigation after a transurethral resection of the prostate (TURP) prevents blood clot formation by flushing the bladder, reducing the risk of obstruction. It is not for medication delivery, pain prevention, or bladder tone maintenance.
Question 5 of 5
A client with a history of heart failure is admitted with shortness of breath and leg edema. Which medication would the nurse expect to administer?
Correct Answer: B
Rationale: Furosemide, a diuretic, reduces fluid overload in heart failure, relieving shortness of breath and edema. Metoprolol (
A) manages heart rate, Warfarin (
C) prevents clots, and Atorvastatin (
D) lowers cholesterol, but none address fluid directly.