NCLEX-RN
NCLEX RN Practice Questions Quizlet Questions
Extract:
Question 1 of 5
The nurse is preparing to administer the first dose of intravenous immunoglobulin (IVIG) to a 50-year-old female adult client admitted to the hospital with Guillain-Barre syndrome. Which nursing intervention is appropriate regarding administration?
Correct Answer: B
Rationale: Monitoring vital signs before and during IVIG infusion detects adverse reactions (e.g., anaphylaxis) early, ensuring client safety.
Question 2 of 5
A psychiatric nurse is assigned to conduct an admission nursing history on a new client. The admission should include which of the following?
Correct Answer: C
Rationale: complete nursing history includes biopsychosocial data; client’s psychosocial and physical status are evaluated along with an assessment of the client’s family system and social support network; evaluation of the client’s cognitive ability is important during the physiological status assessment
Question 3 of 5
A client with burns is admitted and fluid resuscitation has begun. Central venous pressure (CVP) readings are ordered every 4 hours; the client's CVP reading is 14 cm/Hâ‚‚O. Which evaluation by the nurse would be most accurate?
Correct Answer: D
Rationale: A CVP of 14 cm/Hâ‚‚O (normal: 3-8 cm/Hâ‚‚O) indicates fluid volume excess, likely from aggressive resuscitation, requiring careful monitoring to prevent complications.
Question 4 of 5
Whole blood is primarily indicated for which of the following purposes?
Correct Answer: A
Rationale: Whole blood is primarily used to treat extreme loss of blood volume (
A), such as in hemorrhagic shock, as it restores both volume and oxygen-carrying capacity. Clotting factors (
B), anemia (
C), and acute bleeding (
D) may require specific blood components instead.
Question 5 of 5
As the nurse hangs a bag of 3-in-1 total parenteral nutrition (TPN) for a client, a family member asks what is in the bag. The nurse explains a 3-in-1 TPN solution includes
Correct Answer: C
Rationale: 3-in-1 TPN contains dextrose (carbohydrates), amino acids (proteins), and lipids (fats), providing complete nutrition.