NCLEX-PN
Pharmacological and Parenteral Therapies NCLEX Questions
Extract:
Question 1 of 5
Assessment of the client with an arteriovenous fistula for hemodialysis should include:
Correct Answer: B
Rationale: Thrill should be present. The client should be taught to check this daily at home. Pulsation is not typically visible. Percussion gives no information about the patency of a fistula. Blood pressure is not auscultated in a limb with an AVF. Auscultation of the AVF, for a bruit, is part of an assessment for patency.
Question 2 of 5
A client with jaundice has which skin color?
Correct Answer: C
Rationale: Jaundice causes yellow skin due to bilirubin accumulation, unlike the other color descriptions.
Question 3 of 5
A client newly diagnosed with Diabetes Mellitus needs education. Which of the following statements should the nurse include in this education?
Correct Answer: C
Rationale: A balanced diet and exercise program are essential for managing diabetes, promoting glycemic control and overall health without extreme restrictions.
Question 4 of 5
Laboratory tests reveal the following electrolyte values for Mr. Smith: Na 135 mEq/L, Ca 8.5 mg/dL, Cl 102 mEq/L, and K 2.0 mEq/L. Which of the following values should the nurse report to the physician because of its potential risk to the client?
Correct Answer: B
Rationale: A potassium level of 2.0 mEq/L is critically low (normal 3.5-5.5 mEq/L), risking cardiac arrhythmias, and should be reported immediately.
Question 5 of 5
Which of the following observations is most important when assessing a client's breathing?
Correct Answer: C
Rationale: Ensuring the presence and adequacy of breathing is critical, as adequate oxygenation is essential for life. Pulse rate and position are secondary considerations.