NCLEX-RN
NCLEX RN Practice Questions Questions
Extract:
Question 1 of 5
The nurse is monitoring a client following postoperative cardiac catheterization and is checking the client's oxygen saturation (SPO2) per pulse oximetry. The nurse recognizes that the SPO2 should be maintained above what percentage in most clients to ensure adequate oxygenation? Record your answer using a whole number.
Correct Answer: 92
Rationale: SPO2 should be maintained above 92% in most clients to ensure adequate oxygenation, especially post-procedure.
Question 2 of 5
The nurse is preparing to administer a dose of lisinopril (Zestril) to a client with hypertension. The client’s blood pressure is 100/60 mmHg. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: lisinopril is an ACE inhibitor
Question 3 of 5
A nurse starts an IV medication for a client. It is ordered as IV push, and she pushes the medication slowly over two minutes. The client then becomes restless, complains of chest pain, has difficulty breathing, and becomes cyanotic. The nurse recognizes this is most likely caused by
Correct Answer: D
Rationale: Rapid onset of chest pain, dyspnea, cyanosis, and restlessness after IV push suggests pulmonary embolism, likely from air or thrombus introduced during administration.
Question 4 of 5
The nurse is caring for a COPD client who is discharged on p.o. Theophylline. Which of the following statements by the client would indicate a correct understanding of discharge instructions?
Correct Answer: C
Rationale: Theophylline can be administered intravenously for acute COPD exacerbations, indicating the client understands potential treatment escalation.
Question 5 of 5
A client taking furosemide (Lasix) comes into the clinic for routine bloodwork. Which of the following findings indicates an adverse effect of Lasix?
Correct Answer: C
Rationale: Furosemide can increase uric acid levels (normal 3.5-7.2 mg/dL), leading to hyperuricemia, a known adverse effect. Other values are within normal ranges.