NCLEX-RN
NCLEX RN Practice Questions
Extract:
Question 1 of 5
A client with Addison's disease has been admitted with a history of nausea and vomiting for the past 3 days. The client is receiving IV glucocorticoids (Solu-Medrol). Which of the following interventions would the nurse implement?
Correct Answer: C
Rationale: Addison's disease causes sodium loss and potassium retention, so monitoring sodium and potassium levels is essential during glucocorticoid therapy.
Question 2 of 5
A client has an order for streptokinase. Before administering the medication, the nurse should assess the client for:
Correct Answer: B
Rationale: A history of streptococcal infections may increase the risk of allergic reactions to streptokinase, a thrombolytic derived from streptococci.
Question 3 of 5
A client has had a central catheter inserted for administration of parenteral nutrition. An X-ray was taken to ensure correct positioning prior to commencing infusions. The X-ray report indicates that the catheter tip is in the right atrium. Which of the following actions by the nurse is correct?
Correct Answer: A
Rationale: Catheter tip in the right atrium is too far; infusion should be held and the MD notified (
A) for repositioning. Adjusting the catheter (B,
D) or starting infusion (
C) is unsafe.
Question 4 of 5
The nurse is performing a breast exam on a client when she discovers a mass. Which characteristic of the mass would most indicate a reason for concern?
Correct Answer: D
Rationale: A firm, immobile mass is more likely to be malignant. Tender, regular, or mobile masses are often benign, but firmness warrants further evaluation.
Question 5 of 5
The nurse is teaching a client with a new diagnosis of gout about dietary management. Which of the following foods should the client avoid?
Correct Answer: B
Rationale: sardines are high in purines, which can exacerbate gout by increasing uric acid levels