NCLEX-RN
Practice NCLEX RN Questions Questions
Extract:
Question 1 of 5
Which of the following are common neurological changes associated with aging? Select all that apply.
Correct Answer: B,D
Rationale: Aging commonly increases sensory input threshold (
B), making stimuli harder to perceive, and impairs short-term memory (
D). Dementia (
A) is not universal, perspiration reduction (
C) is not neurological, and muscle atrophy (E) is musculoskeletal.
Question 2 of 5
A nurse is caring for a client who has just undergone an ileostomy procedure. The nurse expects how much drainage from the ileostomy during the first 24 hours post-op?
Correct Answer: B
Rationale: Ileostomy drainage in the first 24 hours post-op is typically 500-1,000 mL due to liquid stool output. 800 mL is the most reasonable estimate.
Question 3 of 5
The nurse is caring for a client receiving TPN. The nurse understands that TPN management includes which of the following? Select all that apply.
Correct Answer: A, B, C
Rationale: Monitoring weights, intake/output, electrolytes, glucose, and changing tubing per protocol are standard TPN management practices. Dressings are typically changed every 7 days or per protocol, and D10W/D20W are not suitable substitutes for TPN.
Question 4 of 5
The nurse is preparing to hang a unit of blood on a client. The blood has been checked off with two RNs and the pre-infusion vitals recorded. The nurse is at the bedside monitoring the infusion. Shortly after beginning the infusion, the pump alarm sounds. The IV has infiltrated. No blood has yet reached the client. The client is a hard stick, and the nurse realizes that a line cannot be placed within the time frame to begin the infusion. Which action by the nurse is correct?
Correct Answer: C
Rationale: Since no blood reached the client and IV access cannot be re-established within the time frame, the nurse should cancel the order and notify the provider to reassess the need for transfusion.
Question 5 of 5
The nurse is caring for a client receiving theophylline for asthma. In reviewing client labs, the nurse understands that the dose is therapeutic when the drug level is at what concentration?
Correct Answer: C
Rationale: The therapeutic range for theophylline is 10-20 mcg/mL. Other ranges are incorrect for this medication.