NCLEX-RN
NCLEX RN Practice Questions
Extract:
Question 1 of 5
A child weighing 20 kg is to receive 45 mg/kg of amoxicillin per day in a divided dose every 12 hours. The oral suspension contains 250 mg/5 mL. How many milliliters should the child receive in each dose? Record your answer using a whole number.
Correct Answer: 9
Rationale: Daily dose = 45 mg/kg X 20 kg = 900 mg/day. Divided every 12 hours = 450 mg/dose. Suspension is 250 mg/5 mL, so 450 mg X (5 mL/250 mg) = 9 mL/dose.
Question 2 of 5
The nurse is admitting a new client to the medical unit. When asked about advance directives, the client says, 'I'm not really sure what that is, but I trust my doctor to do whatever he thinks I need.' Which is the correct action by the nurse?
Correct Answer: C
Rationale: Educating the client about advance directives empowers informed decision-making and respects autonomy.
Question 3 of 5
The nurse is caring for a client who just arrived in the PACU following a colonoscopy with polyp removal. The client's level of sedation is assessed using the Ramsay Sedation Scale (RSS). The client responds quickly, but only to commands. What Ramsay score would the nurse chart for this client?
Correct Answer: C
Rationale: RSS 3 indicates a client who responds quickly to commands only, matching the description, per the Ramsay Sedation Scale.
Question 4 of 5
The nurse is admitting a client with acute liver failure. According to the Patient's Bill of Rights, which responsibilities does the nurse understand to be the client's duty? Select all that apply.
Correct Answer: A, D, E
Rationale: Clients are responsible for providing translators, accepting consequences of refusing treatment, and giving accurate medical history. Emergency stabilization is a provider duty, and payment proof is not required before care.
Question 5 of 5
The nurse is assessing a client with suspected myasthenia gravis. Which of the following findings would the nurse expect?
Correct Answer: B
Rationale: ptosis and diplopia are common signs of myasthenia gravis due to muscle weakness in the eyes