NCLEX RN Practice Exam| NCLEX RN
Questions and Answers | NCLEX RN
Study Notes
1. 1. Question
Category: Physiological Adaptation
When giving intravenous (I.V.) phenytoin, which of the following methods should
you use?
A. Use an in-line filter.
B. Withhold other anticonvulsants.
C. Mix the drug with saline solution only.
D. Flush the I.V. catheter with dextrose solution.
Correct Answer: C. Mix the drug with saline solution only.
Phenytoin is compatible only with saline solutions.
Options A and B: You needn’t withhold additional anticonvulsants or use an
in-line filter.
Option D: Dextrose causes an insoluble precipitate to form.
2. 2. Question
Category: Physiological Adaptation
After surgical repair of a hip, which of the following positions is best for the
patient’s legs and hips?
A. Abduction
Correct
B. Adduction
C. Prone
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, D. Subluxated
Correct
Correct Answer: A. Abduction
After surgical repair of the hip, keep the legs and hips abducted to stabilize the
prosthesis in the acetabulum.
Option B: Adduction brings the limb or hand toward or across the midline of
the body, or brings the fingers or toes together.
Option C: Prone position is a body position in which the person lies flat with
the chest down and the back up.
Option D: A subluxation is a partial dislocation of a joint. It’s often the result
of acute injury or repetitive motions, but it can also occur because of medical
conditions where the ligaments are loose.
3. 3. Question
Category: Physiological Adaptation
Which of the following factors should be the primary focus of nursing
management in a patient with acute pancreatitis?
A. Nutrition management
B. Fluid and electrolyte balance
C. Management of hypoglycemia
D. Pain control
Correct Answer: B. Fluid and electrolyte balance
Acute pancreatitis is commonly associated with fluid isolation and accumulation
in the bowel secondary to ileus or peripancreatic edema. Fluid and electrolyte
loss from vomiting is a major concern. Therefore, your priority is to manage
hypovolemia and restore electrolyte balance.
Options A and D: Pain control and nutrition also are important, but not
priority.
Option C: Patients are at risk for hyperglycemia, not hypoglycemia.
4. 4. Question
Category: Reduction of Risk Potential
After a liver biopsy, place the patient in which of the following positions?
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, A. Left side-lying, with the bed flat
B. Right side-lying, with the bed flat
Correct answer
C. Left side-lying, with the bed in semi-Fowler’s position
D. Right side-lying, with the bed in semi-Fowler’s position
Correct Answer: B. Right side-lying, with the bed flat.
Positioning the patient on his right side with the bed flat will splint the biopsy site
and minimize bleeding.
Options A, C, D: The other positions won’t do this and may cause more
bleeding at the site or internally.
5. 5. Question
Category: Reduction of Risk Potential
Which of the following potentially serious complications could occur with therapy
for hypothyroidism?
A. Acute hemolytic reaction
B. Angina or cardiac arrhythmia
C. Retinopathy
D. Thrombocytopenia
Correct Answer B. Angina or cardiac arrhythmia
Precipitation of angina or cardiac arrhythmia is a potentially serious complication
of hypothyroidism treatment.
Option A: Acute hemolytic reaction is a complication of blood transfusions.
Option C: Retinopathy typically is a complication of diabetes mellitus.
Option D: Thrombocytopenia doesn’t result from treating hypothyroidism.
6. 6. Question
Category: Physiological Adaptation
Adequate fluid replacement and vasopressin replacement are objectives of
therapy for which of the following disease processes? Adequate fluid
replacement and vasopressin replacement are objectives of therapy for which of
the following disease processes?
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Questions and Answers | NCLEX RN
Study Notes
1. 1. Question
Category: Physiological Adaptation
When giving intravenous (I.V.) phenytoin, which of the following methods should
you use?
A. Use an in-line filter.
B. Withhold other anticonvulsants.
C. Mix the drug with saline solution only.
D. Flush the I.V. catheter with dextrose solution.
Correct Answer: C. Mix the drug with saline solution only.
Phenytoin is compatible only with saline solutions.
Options A and B: You needn’t withhold additional anticonvulsants or use an
in-line filter.
Option D: Dextrose causes an insoluble precipitate to form.
2. 2. Question
Category: Physiological Adaptation
After surgical repair of a hip, which of the following positions is best for the
patient’s legs and hips?
A. Abduction
Correct
B. Adduction
C. Prone
Page 1 of 19
, D. Subluxated
Correct
Correct Answer: A. Abduction
After surgical repair of the hip, keep the legs and hips abducted to stabilize the
prosthesis in the acetabulum.
Option B: Adduction brings the limb or hand toward or across the midline of
the body, or brings the fingers or toes together.
Option C: Prone position is a body position in which the person lies flat with
the chest down and the back up.
Option D: A subluxation is a partial dislocation of a joint. It’s often the result
of acute injury or repetitive motions, but it can also occur because of medical
conditions where the ligaments are loose.
3. 3. Question
Category: Physiological Adaptation
Which of the following factors should be the primary focus of nursing
management in a patient with acute pancreatitis?
A. Nutrition management
B. Fluid and electrolyte balance
C. Management of hypoglycemia
D. Pain control
Correct Answer: B. Fluid and electrolyte balance
Acute pancreatitis is commonly associated with fluid isolation and accumulation
in the bowel secondary to ileus or peripancreatic edema. Fluid and electrolyte
loss from vomiting is a major concern. Therefore, your priority is to manage
hypovolemia and restore electrolyte balance.
Options A and D: Pain control and nutrition also are important, but not
priority.
Option C: Patients are at risk for hyperglycemia, not hypoglycemia.
4. 4. Question
Category: Reduction of Risk Potential
After a liver biopsy, place the patient in which of the following positions?
Page 2 of 19
, A. Left side-lying, with the bed flat
B. Right side-lying, with the bed flat
Correct answer
C. Left side-lying, with the bed in semi-Fowler’s position
D. Right side-lying, with the bed in semi-Fowler’s position
Correct Answer: B. Right side-lying, with the bed flat.
Positioning the patient on his right side with the bed flat will splint the biopsy site
and minimize bleeding.
Options A, C, D: The other positions won’t do this and may cause more
bleeding at the site or internally.
5. 5. Question
Category: Reduction of Risk Potential
Which of the following potentially serious complications could occur with therapy
for hypothyroidism?
A. Acute hemolytic reaction
B. Angina or cardiac arrhythmia
C. Retinopathy
D. Thrombocytopenia
Correct Answer B. Angina or cardiac arrhythmia
Precipitation of angina or cardiac arrhythmia is a potentially serious complication
of hypothyroidism treatment.
Option A: Acute hemolytic reaction is a complication of blood transfusions.
Option C: Retinopathy typically is a complication of diabetes mellitus.
Option D: Thrombocytopenia doesn’t result from treating hypothyroidism.
6. 6. Question
Category: Physiological Adaptation
Adequate fluid replacement and vasopressin replacement are objectives of
therapy for which of the following disease processes? Adequate fluid
replacement and vasopressin replacement are objectives of therapy for which of
the following disease processes?
Page 3 of 19
