NCLEX-RN
NCLEX RN Practice Questions
Extract:
Question 1 of 5
During the change of shift report, the nurse states that the client's last pulse strength was a 1+. The oncoming nurse recognizes that the client's pulse was:
Correct Answer: D
Rationale: A pulse strength of 1+ indicates a weak pulse, per standard pulse assessment scales.
Question 2 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 3 of 5
A client with rheumatoid arthritis is receiving injections of Myochrysine (gold sodium thiomalate). Before administering the client's medication, the nurse should:
Correct Answer: A
Rationale: Checking lab work is essential to monitor for toxicity, such as renal or hematologic effects, from gold therapy.
Question 4 of 5
A client has returned from having a bronchoscopy. Before offering the client sips of water, the nurse should assess the client's:
Correct Answer: C
Rationale: Assessing the gag reflex ensures the client can swallow safely post-bronchoscopy due to local anesthesia.
Question 5 of 5
A client diagnosed with COPD is receiving theophylline. Morning laboratory values reveal a theophylline level of 38 mcg/mL. The most appropriate action by the nurse would be to:
Correct Answer: B
Rationale: A theophylline level of 38 mcg/mL is toxic (therapeutic range: 10-20 mcg/mL), requiring immediate physician notification to prevent complications like seizures.