COPPREHENSIVE TEST 2 NCLEX PRACTICE EXAM LATEST EXAM 2024/2025 QUESTIONS AND CORRECT ANSWERS GRADED A+

COPPREHENSIVE TEST 2 NCLEX P RACTICE EXAM LATEST EXAM 2024/2025 QUESTIONS AND CORRECT ANSWERS GRADED A+ The nurse is caring for the following clients. Which of them is at highest risk for developing fluid volume deficit? A. 76 year old with an NG tube to suction s/p colon surgery B. 1 year old with runny nose and ear infection C. 30 year old with HIV infection D. 50 year old who takes steroids for chronic lung disease ✔✔ ANSWER✔✔ A. 76 year old with an NG tube to suction s/p colon surgery The most widely used diuretic for increased ICP is : A) Lasix B) Glycerol C) Mannitol D) Plavix ✔✔ ANSWER✔✔ C) Mannitol Following surgery, the nurse has administered albumin to a client. The nurse would evaluate this intervention to be effective if which of the following assessments was obtained? A. Heart rat e 96 B. Temperature 98.8 C. Respirations 24 D. Blood pressure 140/80 ✔✔ ANSWER✔✔ D. Blood pressure 140/80 The nurse is caring for a client and receives the following lab results: HCT 54, BUN 25, creatinine 1.1. Based on these findings the nurse would suspect: A. Fluid volume excess B. Fluid volume deficit C. Renal insufficiency D. Renal failure ✔✔ ANSWER✔✔ B. Fluid volume deficit Dobutamine is a ____________ drug. A) Neuro B) Cardiac C) Renal D) Gastrointestinal ✔✔ ANSWER✔✔ B) Cardiac The nurse is c aring for a client with dry mucous membranes, orthostatic blood pressure changes, and decreased urine output. The client's serum osmolality is normal. Which of the following iv fluids would the nurse anticipate administering? A. Normal Saline B. D5W C. ¼ normal saline D. D10W ✔✔ ANSWER✔✔ A. Normal Saline The nurse is caring for an adult client with complaints of cough, fever and n/v for 3 days. The client is also complaining of dizziness and weakness. Which of the following assessments would provide the best indicator of fluid volume status? A. Temperature B. Respiratory rate & status C. Pulse ox reading at rest D. BP & pulse lying & standing ✔✔ ANSWER✔✔ D. BP & pulse lying & standing What is acetaminophen used for with patients with increased ICP? A) Discomfort B) Fever C) Inflammation ✔✔ ANSWER✔✔ B) Fever The nurse is caring for a post -op client that has had nausea, vomiting, and a urine output of 200 mL in the past 8 hrs. The client's BP is 90/60. Which of the following orders would the nurse imple ment first? A. Increase IV rate to 150 mL/hr B. Administer 750 mL IV bolus of normal saline C. Administer Ondansetron (Zofran) IV for vomiting D. Discontinue the PRN IV Morphine ✔✔ ANSWER✔✔ B. Administer 750 mL IV bolus of normal saline The nurse is cari ng for a client in renal failure. Which of the following assessments would the nurse anticipate? A. Weight loss B. Neck vein distention C. Weak, thready pulse D. Decreased blood pressure ✔✔ ANSWER✔✔ B. Neck vein distention A patient with diabetes insipi dus will most likely be treated with an ADH replacement. True/False ✔✔ ANSWER✔✔ True The nurse is caring for a client with nausea, vomiting and diarrhea for 3 days. The nurse would anticipate which of the following fluid choices as best for this client? A. D5 ½ NS B. D5W