Test 2 NCLEX Practice Exam Questions With Answers
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Test 2 NCLEX Practice Questions
The nurse is caring 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?
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A. Normal Saline
B. D5W
C. ¼ normal saline
D. D10W
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
D. BP & pulse lying & standing
What is acetaminophen used for with patients with increased ICP?
A) Discomfort
B) Fever
C) Inflammation
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 implement first?
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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
B. Administer 750 mL IV bolus of normal saline
The nurse is caring 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
B. Neck vein distention
A patient with diabetes insipidus will most likely be treated with an ADH
replacement.
True/False
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
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C. LR
D. D5LR
D. D5LR
The nurse is caring for a diabetic client who has been npo for surgery. The
nurse would question which of the following iv fluid choices?
A. LR
B. D5LR
C. NS
D. ¼ NS
B. D5LR
Vasopressin is not used for diabetes insipidus.
True/False
False
The nurse is caring for a client with fluid volume excess. Which of the
following findings would indicate that the client's fluid volume status has not
returned to normal?
A. S3 heart sound & crackles in the lungs
B. Hypotension and weak pulses
C. Increased urine output and decreased urine specific gravity
D. Poor skin turgor & dry mucous membranes
A. S3 heart sound & crackles in the lungs
The nurse is caring for a client taking large doses of diuretics. Which of the
following lab results would indicate excessive response to diuretic therapy?