NCLEX-RN
NCLEX RN Practice Questions Quizlet Questions
Extract:
Question 1 of 5
A client with burns is admitted and fluid resuscitation has begun. Central venous pressure (CVP) readings are ordered every 4 hours; the client's CVP reading is 14 cm/Hâ‚‚O. Which evaluation by the nurse would be most accurate?
Correct Answer: D
Rationale: A CVP of 14 cm/Hâ‚‚O (normal: 3-8 cm/Hâ‚‚O) indicates fluid volume excess, likely from aggressive resuscitation, requiring careful monitoring to prevent complications.
Question 2 of 5
When performing Leopold maneuvers on a client at 32 weeks gestation, the nurse would expect to find:
Correct Answer: D
Rationale: At 32 weeks gestation, the fetus is active, and Leopold maneuvers should detect active fetal movement as the fetus is well-developed and mobile.
Question 3 of 5
An elderly client has a stage II pressure ulcer on her sacrum. During assessment of the client's skin, the nurse would expect to find:
Correct Answer: B
Rationale: A stage II pressure ulcer involves partial-thickness skin loss, appearing as a shallow crater with a nonpainful wound base.
Question 4 of 5
All of the following clients are at an increased risk for aspiration pneumonia EXCEPT
Correct Answer: B
Rationale: Aspiration pneumonia risk is high with nasogastric feeding, mechanical ventilation, and dysphagia due to potential airway entry of material.
Total parenteral nutrition (IV) bypasses the airway, reducing aspiration risk.
Question 5 of 5
The nurse is preparing to administer a dose of metoprolol (Lopressor) to a client with hypertension. The client’s heart rate is 58 beats per minute. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: metoprolol is a beta-blocker, and a heart rate of 58 beats per minute is below the threshold for administration, requiring physician notification