NCLEX-RN
NCLEX RN Practice Questions Quizlet Questions
Extract:
Question 1 of 5
If a client's LDL cholesterol is 100, HDL cholesterol is 50, and triglycerides are 150, what is the client's total cholesterol? Record your answer using a whole number.
Correct Answer: 180
Rationale:
Total cholesterol = LDL + HDL + (Triglycerides/ 5) = 100 + 50 + (150/ 5) = 100 + 50 + 30 = 180.
Question 2 of 5
Which of the following clients has the highest risk for pulmonary complications after surgery?
Correct Answer: B
Rationale: Open cholecystectomy involves an upper abdominal incision, increasing the risk of pulmonary complications due to pain limiting deep breathing and coughing.
Question 3 of 5
As the client reaches 8cm dilation, the nurse notes a pattern on the fetal monitor that shows a drop in the fetal heart rate of 30 bpm beginning at the peak of the contraction and ending at the end of the contraction. The FHR baseline is 165-175 bpm with variability of 0-2 bpm. What is the most likely explanation of this pattern?
Correct Answer: D
Rationale: Late decelerations (FHR drop at contraction peak) with minimal variability suggest uteroplacental insufficiency, impairing fetal oxygenation.
Question 4 of 5
A client scheduled for disc surgery tells the nurse that she frequently uses the herbal supplement kava-kava (piper methysticum). The nurse should notify the doctor because kava-kava:
Correct Answer: A
Rationale: Kava-kava can potentiate the effects of anesthetics and analgesics, increasing the risk of oversedation or prolonged recovery, necessitating physician notification.
Question 5 of 5
The following are all nursing diagnoses appropriate for a gravida 1 para 0 in labor. Which one would be most appropriate for the primagravida as she completes the early phase of labor?
Correct Answer: D
Rationale: Fluid volume deficit is a priority in early labor due to decreased intake and increased fluid needs.