NCLEX-RN
NCLEX RN Practice Questions
Extract:
Question 1 of 5
A client admitted for treatment of bacterial pneumonia has an order for intravenous ampicillin. Which specimen should be obtained prior to administering the medication?
Correct Answer: D
Rationale: A sputum culture and sensitivity should be obtained before starting antibiotics to identify the causative organism and ensure appropriate treatment.
Question 2 of 5
A client is prescribed 0.25 mg terbutaline subcutaneously, but the medication is provided as 1 mg/mL. How much medication is needed to provide the correct dosage? Record your answer using a decimal to two places.
Correct Answer: 0.25
Rationale: Dose required = 0.25 mg. Concentration is 1 mg/mL, so volume = 0.25 m/1 mg/mL = 0.25 mL.
Question 3 of 5
Which of the following nursing interventions has the highest priority for the client scheduled for an intravenous pyelogram?
Correct Answer: B
Rationale: Asking about shellfish allergies is critical, as iodine-based contrast used in IVP can cause severe allergic reactions in those with shellfish or iodine allergies.
Question 4 of 5
The wife of a client with colorectal cancer (CRC) is talking to the nurse about prevention and screening of the disease. Which statement should the nurse make to the wife?
Correct Answer: A
Rationale: A low-fat, high-fiber diet with fruits reduces CRC risk. Screening begins at 45 for average risk, with colonoscopy every 10 years or fecal occult blood test annually.
Question 5 of 5
The orthopedic nurse should be particularly alert for a fat embolus in which of the following clients having the greatest risk for this complication after a fracture?
Correct Answer: C
Rationale: Fat embolism is most common in long bone fractures, especially the femur, and in young adults. A 21-year-old with a femur fracture is at highest risk.