NCLEX-RN
NCLEX RN Practice Questions Quizlet Questions
Extract:
Question 1 of 5
The nurse is caring for a client receiving IV vancomycin. The trough level is 14 mcg/mL. The next dose is now due. What is the correct response by the nurse?
Correct Answer: A
Rationale: A trough level of 14 mcg/mL is within the therapeutic range (10–20 mcg/mL) for vancomycin, so the next dose can be given as ordered.
Question 2 of 5
The nurse has just received the change of shift report. The nurse should give priority to assessing the client with:
Correct Answer: A
Rationale: 110 mL of drainage post-thoracotomy in one hour suggests excessive bleeding, requiring immediate assessment.
Question 3 of 5
Nutrients per serving: [Table provided]. Which of the snacks—lunch meat, peanuts, cheese, or apple—has the lowest number of calories per serving?
Correct Answer: D
Rationale: Calories: Lunch meat = (6X 9) + (1X 4) + (7X 4) = 86; Peanuts = (14X 9) + (5X 4) + (7X 4) = 174; Cheese = (9X 9) + (1X 4) + (7X 4) = 113; Apple = (0.3X 9) + (25X 4) + (0.5X 4) = 104.7. Apple (
D) has the lowest at ~105 calories.
Question 4 of 5
All of the following clients are at an increased risk for aspiration pneumonia EXCEPT
Correct Answer: B
Rationale: Aspiration pneumonia risk is high with nasogastric feeding, mechanical ventilation, and dysphagia due to potential airway entry of material.
Total parenteral nutrition (IV) bypasses the airway, reducing aspiration risk.
Question 5 of 5
The nurse is suctioning the tracheostomy of an adult client. The recommended pressure setting for performing tracheostomy suctioning on the adult client is:
Correct Answer: C
Rationale: The recommended suction pressure for adult tracheostomy is 80-120 mmHg to effectively remove secretions without causing trauma.