NCLEX-RN
NCLEX-RN Exam Questions
Extract:
Question 1 of 5
One week ago, a 21-year-old client with a diagnosis of bipolar disorder was started on lithium 300 mg po qid. A lithium level is ordered. The client's level is 1.3 mEq/L. The nurse recognizes that this level is considered to be:
Correct Answer: A
Rationale: This answer is correct. The therapeutic range is 1.0-1.5 mEq/L in the acute phase. Maintenance control levels are 0.6-1.2 mEq/L. (B,
C) This answer is incorrect. A level of 1.3 mEq/L is within therapeutic range. This answer is incorrect.
Toxic poisoning is usually at the 2.0 level or higher.
Question 2 of 5
A six-month-old is receiving Lanoxin elixir (digoxin) following the repair of a VSD. Which finding should be reported to the physician?
Correct Answer: C
Rationale: A heart rate of 80 beats per minute in a six-month-old is low (normal range: 100-160 bpm) and may indicate digoxin toxicity or worsening cardiac function post-VSD repair. The other findings are within normal limits for an infant.
Question 3 of 5
The nurse is assessing a client with suspected hyperthyroidism. Which finding is most consistent with this diagnosis?
Correct Answer: C
Rationale: Tremors are a common sign of hyperthyroidism due to increased metabolic rate and sympathetic activity. Weight gain, bradycardia, and constipation are more typical of hypothyroidism.
Question 4 of 5
A 26-year-old client is diagnosed with an astrocytoma, a benign brain tumor. From the nurse's knowledge of the central nervous system, the nurse knows that benign tumors:
Correct Answer: A
Rationale: Both a benign and a malignant tumor can displace or destroy nearby structures or increase intracranial pressure.
Question 5 of 5
The nurse is preparing to administer a dose of insulin lispro (Humalog). When is the onset of action for this medication?
Correct Answer: A
Rationale: Insulin lispro, a rapid-acting insulin, has an onset of 5–15 minutes, making it ideal for pre-meal administration. Other insulins have slower onsets.