NCLEX-RN
NCLEX RN Question Bank Free Questions
Extract:
Question 1 of 5
A 36-month-old child weighing 44 lb is to receive ceftriaxone (Rocephin) 2 g I.V. every 12 hours. The recommended dose of Rocephin is 50 to 75 mg/kg/day in divided doses. The nurse should:
Correct Answer: D
Rationale: 44 lb = 20 kg. Recommended dose: 50-75 mg/kg/day = 1000-1500 mg/day. 2 g (2000 mg) every 12 hours = 4000 mg/day, exceeding the safe dose, so the nurse should notify the physician.
Question 2 of 5
The nurse is caring for a client with a history of peptic ulcer disease who is experiencing hematemesis. Which of the following interventions is the highest priority?
Correct Answer: B
Rationale: Inserting a nasogastric tube is the priority to assess and manage active bleeding in hematemesis.
Question 3 of 5
The nurse is caring for a client with bipolar disorder in a manic phase. Which intervention is most appropriate?
Correct Answer: B
Rationale: A quiet environment reduces stimuli, helping to calm a client in a manic phase.
Question 4 of 5
The first thing that you should do immediately after a client accident is to:
Correct Answer: C
Rationale: The first action after a client accident is to assess the client to determine the extent of injury and immediate needs, following the nursing process.
Question 5 of 5
The nurse is assessing a client with suspected dehydration. Which finding supports this diagnosis?
Correct Answer: B
Rationale: Dry mucous membranes are a classic sign of dehydration due to reduced fluid volume in the body.