NCLEX-RN
NCLEX RN Practice Questions Questions
Extract:
Question 1 of 5
The nurse is providing post-op education to a client who had a splenectomy. Which statement by the client indicates that the nurse's teaching was successful?
Correct Answer: D
Rationale: Post-splenectomy clients are at risk for infections and require vaccines like influenza, pneumococcal, and meningococcal, indicating successful teaching.
Question 2 of 5
The nurse is caring for a client with staphylococcus epidermidis. The client is on a vancomycin IV. What nursing consideration should the nurse be aware of regarding this medication?
Correct Answer: C
Rationale: Vancomycin requires monitoring trough levels (drawn before a dose) to ensure therapeutic efficacy and prevent toxicity.
Question 3 of 5
Two days' postpartum, a nursing mother develops swollen, taut, and very painful breasts. Which of the following is the most likely cause?
Correct Answer: A
Rationale: Swollen, taut, and painful breasts two days postpartum are most likely due to engorgement (
A), a common condition as milk supply increases. Insufficient milk (
B), blocked ducts (
C), and mastitis (
D) present differently or later.
Question 4 of 5
The client is admitted with chronic obstructive pulmonary disease. Blood gases reveal pH 7.36, CO2 45, O2 84, bicarb 28. The nurse would assess the client to be in:
Correct Answer: C
Rationale: Normal pH with elevated CO2 and bicarbonate indicates compensated respiratory acidosis, typical in COPD.
Question 5 of 5
A client is given morphine 6 mg IV push for postoperative pain. Following administration of this drug, the nurse observes the following: pulse 68, respirations 8, BP 100/68, client sleeping quietly. Which of the following nursing actions is MOST appropriate?
Correct Answer: C
Rationale: IV naloxone (Narcan) should be given to reverse respiratory depression; respiratory rate of 8 is too low and necessitates a nursing action