NCLEX-RN
NCLEX RN Exam Questions Questions
Extract:
Question 1 of 5
A client with Addison's disease is receiving Solu-Medrol (methylprednisolone). Which of the following interventions would the nurse implement?
Correct Answer: C
Rationale: Addison’s disease involves adrenal insufficiency and methylprednisolone replaces deficient corticosteroids. Monitoring sodium and potassium levels is essential as Addison’s can cause hyperkalemia and hyponatremia which may be affected by steroid therapy.
Question 2 of 5
The nurse is caring for a client with a recent stroke. Which position is most appropriate for this client?
Correct Answer: C
Rationale: Side-lying with the head elevated 30 degrees reduces intracranial pressure and promotes venous drainage in stroke clients, minimizing complications like cerebral edema. Supine, prone, or sitting positions may increase pressure or risk aspiration.
Question 3 of 5
The nurse is caring for a client with a history of chronic obstructive pulmonary disease (COPD). The nurse should expect the client to have:
Correct Answer: A
Rationale: COPD causes air trapping, leading to a barrel chest due to hyperinflated lungs.
Question 4 of 5
The nurse is teaching a client with a new colostomy about appliance care. Which instruction should be included?
Correct Answer: B
Rationale: Emptying the colostomy pouch when one-third to one-half full prevents leakage and skin irritation. Changing every 12 hours is excessive, soap may leave residue, and lotion can interfere with adhesion.
Question 5 of 5
The nurse is caring for a client with a history of a pulmonary embolism who is receiving Alteplase (Activase). The nurse should:
Correct Answer: A
Rationale: Alteplase, a thrombolytic, increases bleeding risk, requiring close monitoring for signs like hematuria or hematoma. Vitamin K, glucose, and fluid restriction are unrelated.