NCLEX EXAM PREVIEW
2023 / NCLEX EXAM
PREVIEW 2024 WITH
100% CORRECT
ANSWERS
,The nurse is caring for a client who is receiving a blood
transfusion and states, "I feel chilled and am having back
pain." Which of the following actions should the nurse take?
Select all that apply.
1. Stop the transfusion.
2. Check the client's vital signs.
3. Notify the client's primary health care provider.
4. Return the blood and infusion tubing to the blood bank.
5. Infuse 5% dextrose in water through the intravenous
catheter.
6. Administer a dose of an antiemetic prescribed p.r.n. to the
client. - CORRECT ANSWER-1, 2, 3, 4
Back pain and chills are symptoms of Hemolytic transfusion
reaction (wrong blood type). Must stop infusion, check vital
signs, and notify the provider
5. NS to keep the line open, not dextrose in water
The nurse is preparing a staff education program about total
parenteral nutrition (TPN). Which of the following
information should the nurse include? Select all that apply.
1. "The TPN intravenous tubing should be changed once a
week."
,2. "TPN can be administered through a peripherally inserted
central catheter (PICC)."
3. "Clients receiving TPN should be weighed daily."
4. "An infusion pump is used to deliver TPN."
5. "Serum glucose levels should be monitored in clients
receiving TPN." - CORRECT ANSWER-2, 3, 4, 5
1. TPN tubing is changed daily (every 24hr)!
, The nurse has taught a client with bipolar I disorder who is
experiencing a manic episode and is receiving lithium.
Which of the following statements by the client would
indicate a correct understanding of the teaching?
1. "I will increase my oral fluid intake to 2 to 3 L daily while
taking the medication."
2. "I will experience an improvement in my condition 5 weeks
after starting the medication."
3. "I should decrease my intake of dietary sodium after
starting the medication."
4. "I should limit time spent in a sauna to 1 hour weekly
while taking the medication." - CORRECT ANSWER-1. "I will
increase my oral fluid intake to 2 to 3 L daily while taking the
medication."
Getting dehydrated can increase risk for lithium toxicity.
Rationale:
2. about 1-3 weeks to work
3. Do NOT go on a low sodium diet bc it can decrease lithium
elimination and cause lithium toxicity
4. Sweating too much can cause you to lose too much
sodium.
2023 / NCLEX EXAM
PREVIEW 2024 WITH
100% CORRECT
ANSWERS
,The nurse is caring for a client who is receiving a blood
transfusion and states, "I feel chilled and am having back
pain." Which of the following actions should the nurse take?
Select all that apply.
1. Stop the transfusion.
2. Check the client's vital signs.
3. Notify the client's primary health care provider.
4. Return the blood and infusion tubing to the blood bank.
5. Infuse 5% dextrose in water through the intravenous
catheter.
6. Administer a dose of an antiemetic prescribed p.r.n. to the
client. - CORRECT ANSWER-1, 2, 3, 4
Back pain and chills are symptoms of Hemolytic transfusion
reaction (wrong blood type). Must stop infusion, check vital
signs, and notify the provider
5. NS to keep the line open, not dextrose in water
The nurse is preparing a staff education program about total
parenteral nutrition (TPN). Which of the following
information should the nurse include? Select all that apply.
1. "The TPN intravenous tubing should be changed once a
week."
,2. "TPN can be administered through a peripherally inserted
central catheter (PICC)."
3. "Clients receiving TPN should be weighed daily."
4. "An infusion pump is used to deliver TPN."
5. "Serum glucose levels should be monitored in clients
receiving TPN." - CORRECT ANSWER-2, 3, 4, 5
1. TPN tubing is changed daily (every 24hr)!
, The nurse has taught a client with bipolar I disorder who is
experiencing a manic episode and is receiving lithium.
Which of the following statements by the client would
indicate a correct understanding of the teaching?
1. "I will increase my oral fluid intake to 2 to 3 L daily while
taking the medication."
2. "I will experience an improvement in my condition 5 weeks
after starting the medication."
3. "I should decrease my intake of dietary sodium after
starting the medication."
4. "I should limit time spent in a sauna to 1 hour weekly
while taking the medication." - CORRECT ANSWER-1. "I will
increase my oral fluid intake to 2 to 3 L daily while taking the
medication."
Getting dehydrated can increase risk for lithium toxicity.
Rationale:
2. about 1-3 weeks to work
3. Do NOT go on a low sodium diet bc it can decrease lithium
elimination and cause lithium toxicity
4. Sweating too much can cause you to lose too much
sodium.
