NCLEX-RN Flashcards
7 cards from real RN practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 7 NCLEX-RN flashcards as text
A nurse is caring for a client with chronic kidney disease (CKD) who has a potassium level of 6.2 mEq/L. Which dietary instruction is most important?
Answer: Avoid foods high in potassium such as potatoes and tomatoes
Hyperkalemia in CKD requires restricting high-potassium foods like potatoes, tomatoes, and bananas to prevent life-threatening cardiac arrhythmias.
A postoperative client develops a respiratory rate of 6 breaths/min and is difficult to arouse after receiving IV morphine. What is the priority nursing action?
Answer: Administer naloxone (Narcan) as ordered
Naloxone rapidly reverses opioid-induced respiratory depression and is the priority intervention to restore adequate ventilation.
A nurse assesses a client with left-sided heart failure. Which finding is most consistent with this diagnosis?
Answer: Crackles in the lung bases
Left-sided heart failure causes pulmonary congestion, leading to fluid accumulation in the alveoli and crackles on auscultation.
A nurse is preparing to administer a blood transfusion. After hanging the blood, the client develops chills, back pain, and dark urine within 15 minutes. What should the nurse do first?
Answer: Stop the transfusion and keep the IV line open with normal saline
These signs indicate an acute hemolytic reaction; the transfusion must be stopped immediately and the IV kept patent with NS to prevent renal failure.
A client with tuberculosis (TB) is placed on airborne precautions. Which PPE is required when entering the room?
Answer: N95 respirator, gloves, and gown
An N95 or higher-level respirator is required for airborne precautions; gloves and gown are added for contact with the patient or environment.
A nurse is teaching a client newly prescribed warfarin (Coumadin). Which statement by the client indicates a need for further teaching?
Answer: I can take ibuprofen for my arthritis pain.
NSAIDs like ibuprofen increase bleeding risk when combined with warfarin and should be avoided; acetaminophen is the safer analgesic choice.
A nurse is assessing a 2-year-old child. Which finding requires further follow-up?
Answer: Builds a tower of only 4 blocks
A 2-year-old should stack at least 6 blocks; stacking only 4 blocks suggests a fine motor delay that warrants further evaluation.