NCLEX-RN
NCLEX RN Practice Questions Questions
Extract:
Question 1 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 2 of 5
A child with a known peanut allergy is eating lunch at summer camp and develops an anaphylactic reaction from accidentally ingesting peanut butter-flavored cookies. The nurse's first intervention should be to
Correct Answer: C
Rationale: In an anaphylactic reaction, the priority is to stop further allergen exposure. Verifying the child has stopped eating and has no cookies in their mouth prevents additional allergen ingestion, which is critical before administering epinephrine or other interventions.
Question 3 of 5
A client is scheduled for hemodialysis twice weekly through an arteriovenous fistula in the left arm. Following each hemodialysis treatment, the nurse should evaluate the client for which of the following because of risks associated with hemodialysis? Select all that apply.
Correct Answer: A,C
Rationale: Hemodialysis risks include fluid volume deficit (
A) from rapid fluid removal and bleeding (
C) from the fistula site. Fluid excess (
B) and pulmonary edema (E) are pre-dialysis risks, and acidosis (
D) is corrected by dialysis.
Question 4 of 5
The nurse is taking care of a 12-year-old male who sustained 30% full-thickness burns on his chest and arms 20 hours ago. To maintain optimal fluid and electrolyte balance, the nurse expects to administer which of the following?
Correct Answer: A
Rationale: Lactated Ringer's is the standard fluid for burn resuscitation to restore fluid and electrolyte balance, as it closely mimics the body's extracellular fluid.
Question 5 of 5
A client is diagnosed with emphysema and cor pulmonale. Which findings are characteristic of cor pulmonale?
Correct Answer: D
Rationale: Cor pulmonale, right heart failure from lung disease, causes edema of the lower extremities and distended neck veins due to increased venous pressure.