NCLEX Questions, RN NCLEX Practice Test Questions, NCLEX-RN

Extract:

Question 1 of 5

The client is admitted with a diagnosis of acute diverticulitis. Which dietary order should the nurse anticipate?

Correct Answer: C

Rationale: A clear liquid diet is ordered during acute diverticulitis to rest the bowel and reduce irritation. High-fiber is for prevention, low-residue is for chronic management, and regular diets are inappropriate.

Question 2 of 5

Which of the following serum laboratory values would the nurse monitor during gentamicin therapy?

A. Creatinine B. Sodium C. Calcium D. Potassium

Correct Answer: A

Rationale: A common side effect of gentamicin is nephrotoxicity. The serum laboratory test that best reflects kidney function is serum creatinine.

Question 3 of 5

A client is 6 weeks pregnant. During her first prenatal visit, she asks, 'How much alcohol is safe to drink during pregnancy?' The nurse's response is:

A. Up to 1 oz daily B. Up to 2 oz daily C. Up to 4 oz weekly D. No alcohol

Correct Answer: D

Rationale: No amount of alcohol has been determined safe for pregnant women. Alcohol should be avoided owing to the risk of fetal alcohol syndrome. The recommended safe dosage of alcohol consumption during pregnancy is none.

Question 4 of 5

The most important reason to closely assess circumferential burns at least every hour is that they may result in:

A. Hypovolemia B. Renal damage C. Ventricular arrhythmias D. Loss of peripheral pulses

Correct Answer: D

Rationale: Full-thickness circumferential burns are nonelastic and create an internal tourniquet effect, compromising distal blood flow in extremities or respiratory motion in the torso, leading to loss of peripheral pulses.

Question 5 of 5

Following a gastric resection, a 70-year-old client is admitted to the postanesthesia care unit. He was extubated prior to leaving the suite. On arrival at the postanesthesia care unit, the nurse should:

A. Check airway, feeling for amount of air exchange noting rate, depth, and quality of respirations B. Obtain pulse and blood pressure readings noting rate and quality of pulse C. Reassure the client that his surgery is over and that he is in the recovery room D. Review physician's orders, administering medications as ordered

Correct Answer: A

Rationale: Adequate air exchange and tissue oxygenation depend on competent respiratory function. Checking the airway is the nurse's priority action. Obtaining the vital signs is an important action, but it is secondary to airway management. Reorienting a client to time, place, and person after surgery is important, but it is secondary to airway and vital signs. Airway management takes precedence over physician's orders unless they specifically relate to airway management.