BEST NCLEX QUESTIONS WITH CORRECT ANSWERS & EXPLANATION

1. The intensive care unit (ICU) charge nurse will determine that teaching about hemodynamic monitoring for a new staff nurse has been effective when the new nurse A) Positions the zero-reference stopcock line level with the phlebostatic axis. B) Balances and calibrates the hemodynamic monitoring equipment every hour. C) Rechecks the location of the phlebostatic axis when changing the patient's position. D) Ensures that the patient is lying supine with the head of the bed flat for all readings. - Answer-A) Positions the zero-reference stopcock line level with the phlebostatic axis. 2. The mixed venous oxygen saturation/central venous oxygen saturation (SvO2/ScvO2) ratio is expected to decrease in patients with: A) Hypethermia B) Anemia C) Balanced oxygen supply and demand D) Sepsis - Answer-B) Anemia 3. To verify the correct placement of an endotracheal tube (ET) after insertion, the best initial action by the nurse is to: A) Observe for abdominal distention. B) Asking the physician to order a portable X-ray. C) Auscultate the lungs for symmetrical lung sounds. D) Obtain an ABG sample and send it to the lab before securing the ET. - Answer-C) Auscultate the lungs for symmetrical lung sounds. 4. Examples of medications with positive inotropic effect include all of the following EXCEPT: A) Dopamine B) Digitalis-like drugs C) B-adrenergic blockers D) Calcium sensitizers. - Answer-C) B-adrenergic blockers 5. Which of the following statements is WRONG about central venous pressure (CVP)? A) It increases in cases of hypovolemia. B) It increases in cases of hypervolemia. C) It increases in patients with right ventricular failure. D) It can be measured using the proximal port of the pulmonary artery catheter. - Answer-A) It increases in cases of hypovolemia. 6. The nurse notes thick, white respiratory secretions from a patient who is receiving mechanical ventilation. Which intervention will be most effective in resolving this problem?