Nclex RN EXAM
Question 1:
A client diagnosed with heart failure is prescribed furosemide (Lasix). The nurse should monitor the
client for which of the following adverse effects?
A) Hyperkalemia
B) Hypokalemia
C) Hyponatremia
D) Hypernatremia
Answer: B) Hypokalemia
Rationale:
Furosemide is a loop diuretic that can lead to potassium loss. Hypokalemia is a potential adverse effect,
and the nurse should monitor the client for symptoms such as muscle weakness, fatigue, and cardiac
dysrhythmias.
Question 2:
A postoperative client has a nasogastric tube in place for gastric decompression. The nurse notes that
the drainage is green and bilious. What action should the nurse take?
A) Document the findings; this is normal postoperatively.
B) Notify the healthcare provider.
C) Flush the nasogastric tube with normal saline.
D) Discontinue the nasogastric tube.
Answer: B) Notify the healthcare provider.
, Rationale:
Green and bilious drainage from a nasogastric tube may indicate a bowel obstruction or other
gastrointestinal issue. The healthcare provider should be notified to assess and determine the
appropriate course of action.
Question 3:
A client with diabetes mellitus is admitted with hyperglycemia. The healthcare provider orders regular
insulin IV. What should the nurse closely monitor for during the administration of IV insulin?
A) Hypertension
B) Hypoglycemia
C) Hyperkalemia
D) Hypernatremia
Answer: B) Hypoglycemia
Rationale:
Administering insulin intravenously can lead to a rapid decrease in blood glucose levels. The nurse
should monitor the client closely for signs of hypoglycemia, such as sweating, tremors, confusion, and
palpitations.
Question 4:
A client is receiving heparin therapy for deep vein thrombosis. The nurse should monitor the client's lab
values, paying particular attention to which parameter?
A) Activated partial thromboplastin time (aPTT)
B) Prothrombin time (PT)
C) International normalized ratio (INR)
D) Platelet count
Answer: A) Activated partial thromboplastin time (aPTT)
Question 1:
A client diagnosed with heart failure is prescribed furosemide (Lasix). The nurse should monitor the
client for which of the following adverse effects?
A) Hyperkalemia
B) Hypokalemia
C) Hyponatremia
D) Hypernatremia
Answer: B) Hypokalemia
Rationale:
Furosemide is a loop diuretic that can lead to potassium loss. Hypokalemia is a potential adverse effect,
and the nurse should monitor the client for symptoms such as muscle weakness, fatigue, and cardiac
dysrhythmias.
Question 2:
A postoperative client has a nasogastric tube in place for gastric decompression. The nurse notes that
the drainage is green and bilious. What action should the nurse take?
A) Document the findings; this is normal postoperatively.
B) Notify the healthcare provider.
C) Flush the nasogastric tube with normal saline.
D) Discontinue the nasogastric tube.
Answer: B) Notify the healthcare provider.
, Rationale:
Green and bilious drainage from a nasogastric tube may indicate a bowel obstruction or other
gastrointestinal issue. The healthcare provider should be notified to assess and determine the
appropriate course of action.
Question 3:
A client with diabetes mellitus is admitted with hyperglycemia. The healthcare provider orders regular
insulin IV. What should the nurse closely monitor for during the administration of IV insulin?
A) Hypertension
B) Hypoglycemia
C) Hyperkalemia
D) Hypernatremia
Answer: B) Hypoglycemia
Rationale:
Administering insulin intravenously can lead to a rapid decrease in blood glucose levels. The nurse
should monitor the client closely for signs of hypoglycemia, such as sweating, tremors, confusion, and
palpitations.
Question 4:
A client is receiving heparin therapy for deep vein thrombosis. The nurse should monitor the client's lab
values, paying particular attention to which parameter?
A) Activated partial thromboplastin time (aPTT)
B) Prothrombin time (PT)
C) International normalized ratio (INR)
D) Platelet count
Answer: A) Activated partial thromboplastin time (aPTT)
