NCLEX-PN
NCLEX Trainer Test 6 Questions
Extract:
Question 1 of 5
The nurse is caring for a client who is receiving IV fluids at 100 mL/hour. Which of the following findings should the nurse report immediately?
Correct Answer: C
Rationale: Jugular vein distension suggests fluid overload, a serious complication. Options A, B, and D are normal.
Question 2 of 5
The nurse is teaching a client with a new diagnosis of hypothyroidism about levothyroxine (Synthroid). Which of the following instructions should the nurse include?
Correct Answer: B
Rationale: Chest pain may indicate overstimulation from levothyroxine, mimicking hyperthyroidism. Options A, C, and D are incorrect: morning dosing is preferred, stopping the medication risks relapse, and calcium supplements should be avoided but are secondary.
Question 3 of 5
Digoxin has been prescribed for a 70-year-old man who has atrial fibrillation. Which behavior indicates that the client understands the nurse's instructions about taking digoxin?
Correct Answer: B
Rationale: Checking pulse before taking digoxin prevents administration if bradycardia is present, indicating understanding of toxicity monitoring.
Question 4 of 5
The nurse is caring for a client who is receiving IV gentamicin for a gram-negative infection. Which of the following laboratory results should the nurse report immediately?
Correct Answer: A
Rationale: A creatinine of 2.0 mg/dL indicates nephrotoxicity, a serious gentamicin side effect. Options B, C, and D are normal.
Question 5 of 5
The nurse is teaching a client with a new diagnosis of chronic kidney disease about sevelamer (Renagel). Which of the following statements by the client indicates a need for further teaching?
Correct Answer: D
Rationale: Stopping sevelamer when phosphate levels are normal is incorrect, as chronic kidney disease requires ongoing phosphate control to prevent complications. Options A, B, and C are correct: taking with meals binds phosphate, constipation is a side effect, and calcium supplements interfere with absorption.