NCLEX-RN
Practice NCLEX RN Questions Questions
Extract:
Question 1 of 5
The client is scheduled to have an intravenous cholangiogram. Before the procedure, the nurse should assess the patient for:
Correct Answer: A
Rationale: Iodinated contrast used in cholangiograms can cause reactions in patients with shellfish or iodine allergies due to potential cross-reactivity.
Question 2 of 5
Following insertion of a nasogastric (NG) tube, the nurse aspirates the gastric contents to check the pH to determine if the NG tube is correctly placed. Which of the following pH values is consistent with gastric secretions?
Correct Answer: D
Rationale: Gastric secretions typically have a pH of 1.5-3.5, so a pH of 4 (
D) is consistent with correct NG tube placement in the stomach. Higher pH values (A, B,
C) suggest placement in the intestines or respiratory tract.
Question 3 of 5
A client who just delivered is concerned about her neonate's Apgar scores of 7 at 1 minute and 8 at 5 minutes. She has been told a score lower than 9 is associated with learning disabilities. Which response is best?
Correct Answer: B
Rationale: Apgar scores of 7 and 8 are within normal limits, indicating no immediate need for extra care, and this response addresses the mother's concern accurately without dismissing it.
Question 4 of 5
The nurse is preparing a client with type 2 diabetes for a CT with contrast to evaluate diverticulitis with a possible mass. Which of the following medications on the client's medication list would be of concern to the nurse?
Correct Answer: D
Rationale: Metformin should be held before and after contrast CT due to the risk of lactic acidosis if renal function is impaired by contrast dye.
Question 5 of 5
The physician has ordered 2 units of whole blood for a client following surgery. To provide for client safety, the nurse should:
Correct Answer: B
Rationale: Using a new administration set for each unit prevents contamination and ensures accurate delivery, enhancing transfusion safety.