NCLEX-RN
Free NCLEX RN Practice Questions Questions
Extract:
Question 1 of 5
The nurse is caring for a client hospitalized with nephotic syndrome. Based on the client's treatment, the nurse should:
Correct Answer: D
Rationale: Nephrotic syndrome causes fluid retention, but adequate hydration is needed to maintain renal perfusion, so offering additional fluids is appropriate.
Question 2 of 5
The nurse is caring for a client who is postoperative day 1 following a total hip replacement. Which of the following positions should the nurse AVOID placing the client in?
Correct Answer: D
Rationale: prone position with legs adducted can cause hip dislocation; abduction is maintained post-hip replacement
Question 3 of 5
The client is receiving total parenteral nutrition (TPN). Which lab test should be evaluated while the client is receiving TPN?
Correct Answer: C
Rationale: TPN's high dextrose content requires glucose monitoring to prevent hyperglycemia.
Question 4 of 5
A client has a CVP monitor in place. Which would be included in the nursing care plan for this client?
Correct Answer: A
Rationale: CVP readings outside 3-8 cm of water may indicate fluid imbalance or catheter issues, requiring physician notification to prevent complications.
Question 5 of 5
An ICU nurse monitors a client recovering from a head injury. The client's intracranial pressure (ICP) has been between 15 and 19 mmHg throughout the shift. However, after the nurse suctions the client's endotracheal tube, the ICP jumps to 28 mmHg. It decreases a few minutes later to 20 mmHg. The best intervention by the nurse is to
Correct Answer: D
Rationale: A sudden ICP spike to 28 mmHg post-suctioning suggests a significant issue (e.g., impaired cerebral perfusion). The physician should be contacted for evaluation.