NCLEX-RN
NCLEX RN Practice Questions
Extract:
Question 1 of 5
The nurse is monitoring the labs of a client admitted with viral hepatitis. Which of the following lab findings would the nurse expect for this client? Select all that apply.
Correct Answer: B, C, D
Rationale: Viral hepatitis typically causes increased AST, elevated ammonia, and low serum albumin due to liver damage, while ALT is usually increased, not decreased, and prothrombin time is prolonged.
Question 2 of 5
A 4-year-old is admitted with acute leukemia. It will be most important to monitor the child for:
Correct Answer: C
Rationale: Acute leukemia causes bone marrow suppression, leading to anemia (pallor) and thrombocytopenia (bleeding), which are critical to monitor.
Question 3 of 5
While a dosage of oral morphine has approximately 25% bioavailability, what percentage is the bioavailability of an intravenous dose of morphine? Record your answer using a whole number.
Correct Answer: 100
Rationale: Intravenous morphine has 100% bioavailability, as it is delivered directly into the bloodstream, bypassing metabolism.
Question 4 of 5
The client admitted 2 days earlier with a lung resection accidentally pulls out the chest tube. Which action by the nurse indicates understanding of the management of chest tubes?
Correct Answer: C
Rationale: Covering the insertion site with Vaseline gauze prevents air from entering the pleural space, which is the priority action for a dislodged chest tube.
Question 5 of 5
A 56-year-old male with a long history of alcohol abuse is brought to the detox center per terms of his probation. He had his last drink 6 hours ago and seems confused and agitated. The nurse expects the physician to order
Correct Answer: B
Rationale: Chlordiazepoxide (Librium), a benzodiazepine, is used to manage alcohol withdrawal symptoms like confusion and agitation, preventing seizures.