NCLEX-RN
NCLEX RN Practice Tests Questions
Extract:
Question 1 of 5
The physician has ordered that a serum trough level be drawn for a medication. Which of the following is the correct time to draw blood for a trough level?
Correct Answer: D
Rationale: A trough level is drawn immediately before a scheduled dose (
D) to measure the lowest drug concentration in the blood. Other times (A, B,
C) do not reflect the trough level.
Question 2 of 5
A client receiving high doses of hydromorphone (Dilaudid®) develops acute respiratory depression with a drop in blood pressure. Which of the following treatments is most indicated?
Correct Answer: A
Rationale: Naloxone (
A) reverses opioid-induced respiratory depression. Naproxen (
B), flumazenil (
C), and nortriptyline (
D) are not appropriate.
Question 3 of 5
The nurse is caring for a client with B-Thalassemia major. Which therapy is used to treat Thalassemia?
Correct Answer: B
Rationale: Frequent transfusions manage severe anemia in B-Thalassemia major.
Question 4 of 5
The nurse is performing discharge teaching to a client newly diagnosed with hypertension and high cholesterol. Which statement by the client indicates that the nurse's teaching was effective?
Correct Answer: B
Rationale: Substituting lean sirloin for fried chicken reduces fat and cholesterol. Canned foods, soups, and frozen dinners are often high in sodium, unsuitable for hypertension.
Question 5 of 5
The physician has prescribed Chloromycetin (chloramphenicol) for a client with bacterial meningitis. Which lab report should the nurse monitor most carefully?
Correct Answer: C
Rationale: Chloramphenicol can cause bone marrow suppression, so monitoring the complete blood count is critical.