Questions 149

NCLEX-RN

NCLEX-RN Test Bank

NCLEX RN Practice Questions Quizlet Questions

Question 1 of 5

The client has an order for a trough to be drawn on the client receiving Vancomycin. The nurse is aware that the nurse should contact the lab for them to collect the blood:

Correct Answer: B

Rationale: A trough level for vancomycin is drawn just before the next dose (e.g., 30 minutes before the fourth infusion) to assess the lowest drug concentration.

Question 2 of 5

A woman with hypothyroidism has been taking levothyroxine (Synthroid) for 5 years. She has just been prescribed warfarin (Coumadin). The nurse immediately calls the health care provider to review these orders and anticipates the physician will

Correct Answer: A

Rationale: Levothyroxine increases warfarin’s anticoagulant effect, raising bleeding risk. The physician will likely order lab work (e.g., INR) to monitor and adjust warfarin dosing.

Question 3 of 5

The nurse is caring for a client with ascites. Which is the best method to use for determining early ascites?

Correct Answer: C

Rationale: Daily measurement of abdominal girth is the most sensitive method to detect early ascites by tracking subtle increases in abdominal size.

Question 4 of 5

A 2-month-old boy with a temperature of 102°F (39°C) is brought to the emergency department by his mother. The mother tells the nurse that her son had a DPT injection one week ago, and asks if this fever is related to the immunization. The nurse’s response should be based on the knowledge that

Correct Answer: C

Rationale: low-grade fever and irritability frequent response to immunization

Question 5 of 5

Using Naegele's rule for estimating the due date for a pregnancy, if a client's last menstrual cycle started on September 6 and ended September 10, when is the client's approximate due date?

Correct Answer: C

Rationale: Naegele's rule: September 6 + 7 days = September 13, + 9 months = June 13, 2014. Closest is June 10 (
C), adjusting for approximation.

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