NCLEX-RN
NCLEX RN Exam Questions Questions
Extract:
Question 1 of 5
The client is prescribed furosemide (Lasix) for heart failure. Which laboratory value should the nurse monitor closely?
Correct Answer: A
Rationale: Furosemide, a loop diuretic, causes potassium loss, risking hypokalemia, which can lead to arrhythmias. Calcium, hemoglobin, and BUN are less directly affected.
Question 2 of 5
The nurse is caring for a client following cast application for a fractured ulna. Which finding should be reported to the doctor?
Correct Answer: D
Rationale: Paresthesia (numbness or tingling) in the fingers suggests nerve compression or compromised circulation possibly from a tight cast and requires immediate reporting. Pain is expected and warm fingers with a pulse are normal findings.
Question 3 of 5
The usual treatment for diabetes insipidus is with IM or SC injection of vasopressin tannate in oil. Nursing care related to the client receiving IM vasopressin tannate would include:
Correct Answer: D
Rationale: Weight should be obtained daily. Fluid is not restricted but is given according to urine output. The medication does not have to be stored in a refrigerator. Holding the vial under warm water for 10-15 minutes or rolling between your hands and shaking vigorously before drawing medication into the syringe activates the medication in the oil solution.
Question 4 of 5
A pregnant client complains of varicosities in the third trimester. Which of the following activities should she be advised to avoid?
Correct Answer: D
Rationale: Sitting with the legs crossed at the ankles does not interfere with circulation or create pressure points. TED stockings will help to reduce the varicosity by supporting the vein. Stockings must be applied with legs elevated. Support pantyhose help to reduce the varicosity by supporting the vein. They also provide support to the uterus and allow for better return circulation. Hose must be applied like TED stockings. Knee-high stockings create constriction and pressure points that interfere with circulation in the lower extremities.
Question 5 of 5
A client has sustained a severe head injury and damaged the preoccipital lobe. The nurse should remain particularly alert for which of the following problems?
Correct Answer: A
Rationale: The preoccipital (occipital) lobe processes vision. Damage causes visual impairment (e.g., cortical blindness). Swallowing (
B) involves the brainstem, judgment (
C) the frontal lobe, and hearing (
D) the temporal lobe.