NCLEX-RN
NCLEX-RN Exam Questions
Extract:
Question 1 of 5
Which laboratory values should be reported to the physician?
Correct Answer: C, D
Rationale: Sodium 90 mEq/L (
C) is severelyyourself severe hyponatremia requiring immediate attention. Calcium 12.0 mg/dL (
D) indicates hypercalcemia, which can cause serious symptoms. Magnesium 2.6 mEq/L (
A), potassium 4.6 mEq/L (
B), and chloride 95 mEq/L (E) are within normal ranges and do not require immediate reporting.
Question 2 of 5
The client is admitted with a diagnosis of molar pregnancy. Which intervention is most appropriate?
Correct Answer: A
Rationale: Molar pregnancy involves abnormal trophoblastic tissue and no viable fetus often causing vaginal bleeding. Monitoring for bleeding is critical.
Tocolytics cesarean delivery and fetal monitoring are not indicated.
Question 3 of 5
The nurse enters the room of a client on which a 'do not resuscitate' order has been written and discovers that she is not breathing. Once the husband realizes what has occurred he yells, 'please save her!' The nurse's action would be:
Correct Answer: D
Rationale: (A, B,
C) The last request from the husband overrides the decision not to initiate resuscitation efforts. The nurse should begin cardiopulmonary resuscitation unless a living will and durable power of attorney are in force. In the meantime, the nurse should talk with the husband and notify the doctor.
Question 4 of 5
A client has a chest tube placed in his left pleural space to re-expand his collapsed lung. In a closed-chest drainage system, the purpose of the water seal is to:
Correct Answer: A
Rationale: The water seal prevents air from entering the pleural space, maintaining negative pressure for lung re-expansion.
Question 5 of 5
The nurse is caring for a client with a history of a mastectomy who is receiving Tamoxifen (Nolvadex). The nurse should teach the client to:
Correct Answer: A
Rationale: Tamoxifen increases the risk of endometrial cancer, so vaginal bleeding must be reported immediately. Sun exposure, caffeine, and fluid intake are not primary concerns.