NCLEX-RN
Practice NCLEX RN Questions Questions
Extract:
Question 1 of 5
A child who ingested 18 500-mg acetaminophen tablets 30 minutes ago is seen in the ED. Which of these orders should the nurse do first?
Correct Answer: A
Rationale: Activated charcoal is the priority within 1 hour of acetaminophen overdose to reduce absorption, followed by acetylcysteine to prevent liver damage.
Question 2 of 5
The charge nurse is making assignments for the day shift. One of the nurses is 5 months pregnant. Which of the following clients is the most appropriate assignment for this expectant nurse?
Correct Answer: C
Rationale: Pneumonia is less likely to pose a risk to a pregnant nurse compared to shingles, measles (both vaccine-preventable and highly contagious), or C. difficile (requiring strict contact precautions).
Question 3 of 5
An electrical fire occurs in a client's room shortly after the client returns from the recovery room after repair of a hip fracture with insertion of a prosthesis. What is the best method of removing the client from the room?
Correct Answer: C
Rationale: Moving the bed with the client on it (
C) is the safest and fastest method to evacuate a post-surgical client with limited mobility during an emergency like a fire. Other methods (A, B,
D) risk injury or delay.
Question 4 of 5
Which of the following factors increase the risk of developing deep vein thrombosis (DVT)? Select all that apply.
Correct Answer: B,C,D,F
Rationale: DVT risk factors include smoking (
B), surgery (
C), oral contraceptives (
D), and immobility (F). Underweight (
A) and high-protein diet (E) are not significant risks.
Question 5 of 5
The physician has ordered Vancocin (vancomycin) 500 mg IV every 6 hours for a client with MRSA. The medication should be administered:
Correct Answer: D
Rationale: Vancomycin should be infused over at least 60 minutes to prevent adverse reactions such as red man syndrome.