NCLEX-RN
NCLEX RN Questions Medical Surgical Nursing Questions
Extract:
Question 1 of 5
A client is receiving dopamine hydrochloride for treatment of shock. The nurse should:
Correct Answer: B
Rationale: Dopamine can cause significant changes in blood pressure due to its inotropic and vasopressor effects. Continuous blood pressure monitoring is essential to titrate the dose and prevent complications. Pain medication, arterial blood gases, and infection monitoring are not primary.
Question 2 of 5
The client tells the nurse that since his diagnosis of stomach cancer, he has been having trouble sleeping and is frequently preoccupied with thoughts about how his life will change. He says, 'I wish my life could stay the same.' Based on this information, which one of the following nursing diagnoses would be appropriate at this time?
Correct Answer: C
Rationale: The client's statement and symptoms suggest grieving related to the life-altering diagnosis of stomach cancer. This diagnosis best captures the emotional response to the anticipated changes.
Question 3 of 5
The nurse discovers that a client's TPN solution was running at an incorrect rate and is now 2 hours behind schedule. Which action is appropriate for the nurse to take to correct the problem?
Correct Answer: D
Rationale: Notifying the physician is appropriate when a TPN infusion is behind schedule, as adjusting rates without an order can cause complications like hyperglycemia or circulatory overload. Continuing at the current rate or doubling the rate is unsafe. CN: Pharmacological and parenteral therapies; CL: Synthesize
Question 4 of 5
Which lab result indicates worsening acute renal failure?
Correct Answer: A
Rationale: Elevated creatinine indicates reduced kidney function in acute renal failure.
Question 5 of 5
Thirty-two children are brought to the emergency department after a school bus accident. Two children were killed along with the three people in the car that caused the crash. Before the victims arrive, in addition to ensuring that the hospital staff are prepared for the emergency, which step should the nurse anticipate carrying out?
Correct Answer: A
Rationale: A crisis response team is essential to provide psychological support to victims, families, and staff following a traumatic event like a school bus accident with fatalities.