NCLEX-RN
NCLEX RN Practice Questions Quizlet Questions
Extract:
Question 1 of 5
The physician has ordered Dilantin (phenytoin) 100 mg intravenously for a client with generalized tonic clonic seizures. The nurse should administer the medication:
Correct Answer: C
Rationale: Phenytoin should be administered slowly over 2-3 minutes to prevent cardiovascular complications such as hypotension and arrhythmias.
Question 2 of 5
The nurse is teaching a client with rheumatoid arthritis about joint protection techniques. Which of the following statements by the client indicates understanding of the teaching?
Correct Answer: B
Rationale: using large joints for tasks reduces stress on smaller joints, which is a key principle in joint protection
Question 3 of 5
A client with diverticulitis fills out her lunch menu after instruction from the nurse on proper diet. Which selection by the client demonstrates the need for further teaching?
Correct Answer: C
Rationale: Creamy peanut butter is high-fat and low-fiber, which can exacerbate diverticulitis. Other options are low-residue and appropriate.
Question 4 of 5
The nurse is caring for a client on a ventilator that is set on intermittent mandatory ventilation (IMV). Assessment on the ventilator is IMV mode of 8 breaths per minute. The nurse assesses the client's respiratory rate of 13 per minute. These findings indicate that:
Correct Answer: D
Rationale: IMV delivers a set number of breaths (8 per minute), but the client can breathe spontaneously. A respiratory rate of 13 indicates the client is taking 5 additional spontaneous breaths (13 - 8 = 5).
Question 5 of 5
All of the following clients are at an increased risk for aspiration pneumonia EXCEPT
Correct Answer: B
Rationale: Aspiration pneumonia risk is high with nasogastric feeding, mechanical ventilation, and dysphagia due to potential airway entry of material.
Total parenteral nutrition (IV) bypasses the airway, reducing aspiration risk.