NCLEX-RN
NCLEX Practice Test RN Questions
Extract:
Question 1 of 5
Following a gastric resection, which of the following actions would the nurse reinforce with the client in order to alleviate the distress from dumping syndrome?
Correct Answer: D
Rationale: A low-carbohydrate diet prevents a hypertonic bolus, reducing dumping syndrome. The other options exacerbate the condition.
Question 2 of 5
The nurse is preparing to administer oral potassium chloride to an elderly client. Which action should the nurse take before administering the medication?
Correct Answer: D
Rationale: Potassium chloride can worsen renal function in elderly clients. Checking the creatinine level assesses kidney function to ensure safe administration. Glucose hypocalcemia and withholding food are not directly related to potassium administration.
Question 3 of 5
The nurse is caring for a client with a history of Addison’s disease. The nurse should expect the client to have:
Correct Answer: A
Rationale: Addison’s disease causes adrenal insufficiency, reducing cortisol and aldosterone, leading to hypotension due to fluid and sodium loss.
Question 4 of 5
A client telephones the emergency room stating that she thinks that she is in labor. The nurse should tell the client that labor has probably begun when:
Correct Answer: D
Rationale: Contractions five minutes apart lasting 30-60 seconds indicate the onset of active labor. Two-minute contractions suggest advanced labor and back pain or urination are less specific signs.
Question 5 of 5
A client admitted with a diagnosis of possible myocardial infarction is admitted to the unit from the emergency room. The nurse's first action when admitting the client will be to:
Correct Answer: B
Rationale: Obtaining vital signs is important after connecting the client to the monitor because vital signs should be stable before the client is discharged from the emergency room. All are important, but the first priority is to monitor the client's rhythm. If the client is in severe pain, pain medication should be given after connecting him to the monitor and obtaining vital signs. Completion of the history profile is the least important of the nursing actions.