NCLEX-RN
NCLEX RN Practice Questions Questions
Extract:
Question 1 of 5
The obstetrical client decides to have an epidural anesthetic to relieve pain during labor. Following administration of the anesthesia, the nurse should monitor the client for:
Correct Answer: C
Rationale: Epidural anesthesia can cause respiratory depression, requiring close monitoring to ensure patient safety.
Question 2 of 5
A client hospitalized with cirrhosis has developed abdominal ascites. The nurse should provide the client with snacks that provide additional:
Correct Answer: C
Rationale: Protein-rich snacks help maintain nutritional status and support liver function in cirrhosis, while sodium should be limited to reduce ascites.
Question 3 of 5
A client with hyperkalemia is admitted to the telemetry unit. Which of the following would require notification of the health care provider? Select all that apply.
Correct Answer: A, B
Rationale: Spiked T waves and bradycardia (heart rate 53) are signs of severe hyperkalemia, requiring immediate provider notification. Normal heart rate, food refusal, and adequate urinary output (30 cc/hr) are not urgent.
Question 4 of 5
The nurse is teaching the client with polycythemia vera about prevention of complications of the disease. Which of the following statements by the client indicates a need for further teaching?
Correct Answer: A
Rationale: Limiting fluid intake to 500 mL per day is incorrect, as adequate hydration is essential in polycythemia vera to reduce blood viscosity and prevent thrombosis.
Question 5 of 5
The nurse should be particularly alert for which one of the following problems in a client with barbiturate overdose?
Correct Answer: C
Rationale: Barbiturate overdose primarily causes respiratory depression, leading to apnea, which is life-threatening and requires immediate intervention.