NCLEX-RN
NCLEX RN Practice Questions Questions
Extract:
Question 1 of 5
The client is admitted with chronic obstructive pulmonary disease. Blood gases reveal pH 7.36, CO2 45, O2 84, bicarb 28. The nurse would assess the client to be in:
Correct Answer: C
Rationale: Normal pH with elevated CO2 and bicarbonate indicates compensated respiratory acidosis, typical in COPD.
Question 2 of 5
Which observation would the nurse expect to make after an amniotomy?
Correct Answer: B
Rationale: Clear amniotic fluid is expected after an amniotomy, indicating no complications like meconium or bleeding.
Question 3 of 5
The nurse is caring for a client with staphylococcus epidermidis. The client is on a vancomycin IV. What nursing consideration should the nurse be aware of regarding this medication?
Correct Answer: C
Rationale: Vancomycin requires monitoring trough levels (drawn before a dose) to ensure therapeutic efficacy and prevent toxicity.
Question 4 of 5
The nurse should be particularly alert for which one of the following problems in a client with barbiturate overdose?
Correct Answer: C
Rationale: Barbiturate overdose primarily causes respiratory depression, leading to apnea, which is life-threatening and requires immediate intervention.
Question 5 of 5
The nurse is caring for a 12-year-old client with appendicitis. The client's mother is a Jehovah's Witness and refuses to sign the blood permit. What nursing action is most appropriate?
Correct Answer: D
Rationale: Notifying the physician respects the mother's beliefs while ensuring the medical team addresses the refusal appropriately.