NCLEX Cram Quiz: Can You Recall It All Fast?

1. Which finding indicates the patient is developing acute decompensated heart failure?

Decreased BNP and clear lungs

Orthopnea, elevated JVD, and crackles

Tachycardia with normal blood pressure

Increased urine output and weight loss

Submit

3. Which nursing diagnosis is priority for a patient with deep vein thrombosis?

Deficient knowledge

Ineffective tissue perfusion

Activity intolerance

Anxiety

4. A patient develops acute angle-closure glaucoma. Which medication is contraindicated?

Atropine

Pilocarpine

Timolol

Dorzolamide

5. True or False: Patients with hyperkalemia should receive sodium polystyrene sulfonate before insulin and dextrose.

True

False

Submit

7. A patient with COPD is using pursed-lip breathing. This technique helps by:

Increasing oxygen intake

Keeping airways open longer during expiration

Reducing carbon dioxide production

Strengthening respiratory muscles

8. Which assessment is most important for a patient receiving chemotherapy?

Assess for peripheral neuropathy and mucositis

Check blood pressure every hour

Monitor urine color for dark tea-colored output

Restrict protein intake

Submit

10. True or False: A patient on ACE inhibitors should have potassium levels monitored regularly.

True

False

11. A patient receives an IV bolus of normal saline. Which electrolyte imbalance is most likely to develop with excessive administration?

Hyperkalemia

Hypernatremia

Hypercalcemia

Hypermagnesemia

12. A patient on digoxin presents with nausea, visual disturbances, and irregular pulse. What is the priority nursing action?

Administer the next dose of digoxin

Obtain an ECG and check serum digoxin level

Increase IV fluids immediately

Give antacids for nausea relief

Submit

14. A patient on metformin requires contrast dye for imaging. What is the appropriate nursing action?

Continue metformin as scheduled

Hold metformin before and after contrast; resume after renal function confirmed

Double the metformin dose to prevent hyperglycemia

Switch to insulin permanently

15. True or False: Metabolic alkalosis increases the risk of hypokalemia.

True

False

16. A patient develops signs of anaphylaxis after receiving penicillin. Which medication should be given first?

Antihistamine

Epinephrine

Corticosteroid

Oxygen therapy

Submit

18. A patient with chronic kidney disease has a creatinine of 3.8 mg/dL. What is the primary nursing concern?

Hyperkalemia and metabolic acidosis

Hypoglycemia and dehydration

Hypernatremia and hypercalcemia

Hypokalemia and alkalosis

19. Which intervention is most appropriate for a patient in septic shock?

Restrict fluids to prevent pulmonary edema

Administer broad-spectrum antibiotics within one hour

Avoid vasopressors until cultures return

Keep patient NPO for 24 hours

20. A client receiving heparin therapy develops thrombocytopenia. What is the most likely diagnosis?

Disseminated intravascular coagulation

Heparin-induced thrombocytopenia (HIT)

Immune thrombocytopenic purpura

Acute leukemia

21. Which assessment finding is most consistent with acute respiratory distress syndrome (ARDS)?

Decreased PaO2 despite high-flow oxygen

Elevated CO2 with normal oxygen levels

Low respiratory rate with clear lung sounds

Unilateral breath sounds with chest pain

NCLEX Cram Quiz: Can You Recall It All Fast?

1. Which finding indicates the patient is developing acute decompensated heart failure?

2.

What first name or nickname would you like us to use?

2. A patient on gentamicin requires monitoring of ______ and creatinine levels to assess for nephrotoxicity.

3. Which nursing diagnosis is priority for a patient with deep vein thrombosis?

4. A patient develops acute angle-closure glaucoma. Which medication is contraindicated?

5. True or False: Patients with hyperkalemia should receive sodium polystyrene sulfonate before insulin and dextrose.

6. The primary side effect of ACE inhibitors that requires patient education is ______ cough.

7. A patient with COPD is using pursed-lip breathing. This technique helps by:

8. Which assessment is most important for a patient receiving chemotherapy?

9. The most reliable indicator of adequate tissue perfusion in shock is ______ pressure.

10. True or False: A patient on ACE inhibitors should have potassium levels monitored regularly.

11. A patient receives an IV bolus of normal saline. Which electrolyte imbalance is most likely to develop with excessive administration?

12. A patient on digoxin presents with nausea, visual disturbances, and irregular pulse. What is the priority nursing action?

13. The normal INR range for a patient on warfarin for atrial fibrillation is to .

14. A patient on metformin requires contrast dye for imaging. What is the appropriate nursing action?

15. True or False: Metabolic alkalosis increases the risk of hypokalemia.

16. A patient develops signs of anaphylaxis after receiving penicillin. Which medication should be given first?

17. When administering IV potassium, the nurse must ensure the concentration does not exceed ______ mEq/L in peripheral IV.

18. A patient with chronic kidney disease has a creatinine of 3.8 mg/dL. What is the primary nursing concern?

19. Which intervention is most appropriate for a patient in septic shock?

20. A client receiving heparin therapy develops thrombocytopenia. What is the most likely diagnosis?

21. Which assessment finding is most consistent with acute respiratory distress syndrome (ARDS)?

NCLEX Cram Quiz: Can You Recall It All Fast?

1. Which finding indicates the patient is developing acute decompensated heart failure?

2.

What first name or nickname would you like us to use?

2. A patient on gentamicin requires monitoring of ______ and creatinine levels to assess for nephrotoxicity.

3. Which nursing diagnosis is priority for a patient with deep vein thrombosis?

4. A patient develops acute angle-closure glaucoma. Which medication is contraindicated?

5. True or False: Patients with hyperkalemia should receive sodium polystyrene sulfonate before insulin and dextrose.

6. The primary side effect of ACE inhibitors that requires patient education is ______ cough.

7. A patient with COPD is using pursed-lip breathing. This technique helps by:

8. Which assessment is most important for a patient receiving chemotherapy?

9. The most reliable indicator of adequate tissue perfusion in shock is ______ pressure.

10. True or False: A patient on ACE inhibitors should have potassium levels monitored regularly.

11. A patient receives an IV bolus of normal saline. Which electrolyte imbalance is most likely to develop with excessive administration?

12. A patient on digoxin presents with nausea, visual disturbances, and irregular pulse. What is the priority nursing action?

13. The normal INR range for a patient on warfarin for atrial fibrillation is ______ to ______.

14. A patient on metformin requires contrast dye for imaging. What is the appropriate nursing action?

15. True or False: Metabolic alkalosis increases the risk of hypokalemia.

16. A patient develops signs of anaphylaxis after receiving penicillin. Which medication should be given first?

17. When administering IV potassium, the nurse must ensure the concentration does not exceed ______ mEq/L in peripheral IV.

18. A patient with chronic kidney disease has a creatinine of 3.8 mg/dL. What is the primary nursing concern?

19. Which intervention is most appropriate for a patient in septic shock?

20. A client receiving heparin therapy develops thrombocytopenia. What is the most likely diagnosis?

21. Which assessment finding is most consistent with acute respiratory distress syndrome (ARDS)?

13. The normal INR range for a patient on warfarin for atrial fibrillation is to .