NCLEX-RN
Free NCLEX RN Practice Questions Questions
Extract:
Question 1 of 5
A child is to receive heparin sodium 5 units per kilogram of body weight by subcutaneous route every 4 hours. The child weighs 52.8 lb. How many units should the child receive in a 24-hour period?
Correct Answer: C
Rationale: Weight: 52.8 lb ÷ 2.2 = 24 kg. Dose: 5 units/kg × 24 kg = 120 units every 4 hours. 24 hours ÷ 4 = 6 doses/day. 120 × 6 = 720 units/day.
Question 2 of 5
The nurse is teaching a client with limited mobility about preventing blood clots. Which statement by the nurse is correct?
Correct Answer: A
Rationale: Crossing legs can impede venous return, increasing clot risk, so avoiding this is correct. Long car rides are a risk but not limited to two hours, and pillows under knees can worsen circulation.
Question 3 of 5
The nurse is creating a discharge plan for a client with cholecystitis. The nurse should encourage the client to follow
Correct Answer: B
Rationale: A low-fat diet reduces gallbladder stimulation and prevents cholecystitis flare-ups. Potassium, B12, and phosphorus are not directly related to cholecystitis management.
Question 4 of 5
The nurse is caring for an 11-year-old patient being treated for a fractured right femur with balanced suspension traction with a Thomas splint and Pearson attachment. The nurse notes that the patient’s left leg is externally rotated. The nurse should
Correct Answer: A
Rationale: holds hip in neutral position and leg in normal alignment, entire weight of leg cannot be held by props placed below knee
Question 5 of 5
An adolescent client with cystic acne has a prescription for Accutane (isotretinoin). Which lab work is needed before beginning the medication?
Correct Answer: C
Rationale: A liver profile is required before starting isotretinoin due to its potential hepatotoxicity, ensuring safe administration.