NCLEX-RN
Free NCLEX RN Practice Questions Questions
Extract:
Question 1 of 5
A client with chronic kidney disease (CKD) is being evaluated by the transplant team. The client's glomerular filtration rate (GFR) is 14 mL/min. This places the client in which stage of CKD?
Correct Answer: B
Rationale: GFR <15 mL/min indicates stage 5 CKD (end-stage renal disease), often requiring dialysis or transplant.
Question 2 of 5
A client is complaining of chest pain. Nursing assessment reveals a BP of 78/40, shortness of breath, and third-degree AV block on the heart monitor. What medication would the nurse prepare for initial administration?
Correct Answer: A
Rationale: Third-degree AV block with hypotension (BP 78/40) requires atropine to increase heart rate by blocking vagal activity, improving cardiac output.
Question 3 of 5
A client has a chest tube in place with a three-chamber chest drainage system. The nurse notes continuous bubbling in the water seal chamber. This indicates which of the following?
Correct Answer: C
Rationale: Continuous bubbling in the water seal chamber indicates a system air leak (
C), such as a loose connection or hole in the tubing. A pneumothorax (
A) may cause intermittent bubbling, adequate suction (
B) is indicated by bubbling in the suction chamber, and incorrect tube positioning (
D) would not typically cause continuous bubbling.
Question 4 of 5
The nurse is caring for an elderly client with dementia. The family wishes to take the client home instead of placing her in an assisted living facility. Which information should the nurse include in his discharge teaching? Select all that apply.
Correct Answer: A, D, E
Rationale: Providing community resources, social worker contact, and home safety information supports the family’s decision and promotes safety. Discussing provider disapproval or assisted living advantages is inappropriate.
Question 5 of 5
The nurse is reviewing the lab results of a client's arterial blood gases. The $\mathrm{PaCO}_2$ indicates effective functioning of the:
Correct Answer: C
Rationale: PaCO2 reflects lung function, as the lungs regulate carbon dioxide levels through ventilation; abnormal levels indicate respiratory issues.