NCLEX-RN
Practice NCLEX RN Questions Questions
Extract:
Question 1 of 5
The nurse is caring for a client receiving TPN. The nurse understands that TPN management includes which of the following? Select all that apply.
Correct Answer: A, B, C
Rationale: Monitoring weights, intake/output, electrolytes, glucose, and changing tubing per protocol are standard TPN management practices. Dressings are typically changed every 7 days or per protocol, and D10W/D20W are not suitable substitutes for TPN.
Question 2 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.
Question 3 of 5
The nurse is performing discharge teaching to the parents of a 7-year-old who has been diagnosed with asthma. Which sports activity would be most appropriate for this client?
Correct Answer: B
Rationale: Swimming is ideal for asthma clients as it promotes controlled breathing in a warm, humid environment, reducing the risk of exercise-induced bronchospasm.
Question 4 of 5
The nurse is preparing to hang a unit of blood on a client. The blood has been checked off with two RNs and the pre-infusion vitals recorded. The nurse is at the bedside monitoring the infusion. Shortly after beginning the infusion, the pump alarm sounds. The IV has infiltrated. No blood has yet reached the client. The client is a hard stick, and the nurse realizes that a line cannot be placed within the time frame to begin the infusion. Which action by the nurse is correct?
Correct Answer: C
Rationale: Since no blood reached the client and IV access cannot be re-established within the time frame, the nurse should cancel the order and notify the provider to reassess the need for transfusion.
Question 5 of 5
The nurse is caring for a client receiving IV heparin therapy for a pulmonary embolism. Which lab values would the nurse expect to order on this client?
Correct Answer: C
Rationale: PT, PTT, and INR are monitored to assess the therapeutic effect and safety of heparin, which affects blood clotting.