NCLEX-RN
RN NCLEX Practice Questions Questions
Extract:
Question 1 of 5
A 23-year-old woman who is 16 weeks pregnant is seen by the nurse for a routine maternal-child clinic appointment. The client has had erratically controlled type 1 diabetes since 12 years old. The client asks the nurse if she is at risk during her pregnancy. The nurse instructs the client she should do which of the following actions to limit complications for both her and her baby? Select all that apply.
Correct Answer: A, C, D
Rationale: Healthy eating, taking insulin as directed, and monitoring blood sugar before meals help control diabetes and reduce pregnancy complications. Exercise is generally encouraged, not avoided.
Question 2 of 5
If a client with psoriasis is to begin NB-UVB phototherapy, how long should the initial treatment be?
Correct Answer: A
Rationale: Initial NB-UVB phototherapy starts with 30 seconds to 1 minute (
A) to assess skin tolerance and prevent burns. Longer durations (B, C,
D) are used in subsequent sessions.
Question 3 of 5
A client's serum sodium level is 113 mEq/L. The nurse would expect which findings upon assessment?
Correct Answer: A
Rationale: Severe hyponatremia (113 mEq/L) causes neurological symptoms like headache, confusion, muscle weakness, and fatigue due to cerebral edema.
Question 4 of 5
The nurse administers a dose of acetaminophen to the wrong client. Which of the following actions is the most appropriate after notifying the physician?
Correct Answer: A
Rationale: Medication errors require notifying the supervisor and completing an incident report (
A) to ensure proper follow-up and system improvements. Retroactively obtaining an order (
B) is unethical, assuming acetaminophen is benign (
C) is unsafe, and documenting the error in the client's record (
D) is inappropriate.
Question 5 of 5
The nurse has an order to give 1,000 mL of 0.9% NS with 20 meQ of potassium chloride over 8 hours. The IV set has a drop factor of 15. How many gtts/min should the client receive?
Correct Answer: 31
Rationale: Rate = 1,000 mL ÷ 8 hr = 125 mL/hr. Drops/min = (125 mL/hr × 15 gtts/mL) ÷ 60 min = 31.25 gtts/min, rounded to 31 gtts/min.