NCLEX-RN
NCLEX RN Practice Questions
Extract:
Question 1 of 5
The nurse is reviewing labs for a client whose potassium level is 5.3 mEq/L. Which order should the nurse anticipate from the health care provider?
Correct Answer: D
Rationale: A potassium level of 5.3 mEq/L indicates mild hyperkalemia, and Kayexalate may be ordered to lower it. K-Dur would worsen the condition.
Question 2 of 5
A client has had a central catheter inserted for administration of parenteral nutrition. An X-ray was taken to ensure correct positioning prior to commencing infusions. The X-ray report indicates that the catheter tip is in the right atrium. Which of the following actions by the nurse is correct?
Correct Answer: A
Rationale: Catheter tip in the right atrium is too far; infusion should be held and the MD notified (
A) for repositioning. Adjusting the catheter (B,
D) or starting infusion (
C) is unsafe.
Question 3 of 5
The nurse recognizes which of the following as a dual diagnosis?
Correct Answer: C
Rationale: Dual diagnosis refers to a mental health disorder and a substance use disorder. Bipolar disorder and alcoholism fit this definition.
Question 4 of 5
A trauma client is admitted to the emergency room following a motor vehicle accident. Examination reveals that the left side of the chest moves inward when the client inhales. The finding is suggestive of:
Correct Answer: D
Rationale: Inward chest movement on inhalation indicates flail chest, where multiple rib fractures cause a segment of the chest wall to move independently.
Question 5 of 5
The client with an abdominal aortic aneurysm is admitted in preparation for surgery. Which of the following should be reported to the doctor?
Correct Answer: A
Rationale: An elevated white blood cell count may indicate infection or inflammation, which requires prompt reporting before surgery.