NCLEX-RN
Practice NCLEX RN Test Questions
Extract:
Question 1 of 5
A client comes into the emergency room after a chemical splashed into her eye at work. The priority nursing intervention is to
Correct Answer: C
Rationale: Immediate irrigation with saline removes the chemical, preventing further eye damage. Other actions follow after irrigation.
Question 2 of 5
A mother brings her two-year-old boy to the pediatrician’s office. Which of the following symptoms would suggest to the nurse that the child has strabismus?
Correct Answer: C
Rationale: visual axes are not parallel so the brain receives two images
Question 3 of 5
A client is in acute postoperative pain, and the physician orders 85 mg of meperidine (Demerol®) stat. The vial contains 100 mg in 2 mL. How many milliliters should the nurse administer? Record your answer using a decimal number.
Correct Answer: 1.7
Rationale: Dose = 85 mg, concentration = 100 mg/2 mL = 50 mg/mL. Volume = 85 m/50 mg/mL = 1.7 mL.
Question 4 of 5
The nurse is observing the respirations of a client when she notes that the respiratory cycle is marked by periods of apnea lasting from 10 seconds to 1 minute. The apnea is followed by respirations that gradually increase in depth and frequency. The nurse should document that the client is experiencing:
Correct Answer: A
Rationale: Cheyne-Stokes respirations are characterized by periods of apnea followed by increasing depth and frequency of breaths.
Question 5 of 5
The nurse is caring for a 28-year-old female with a long history of heroin addiction. The client tells the nurse that she started off using a small amount recreationally, but as time went on, she needed more and more heroin to feel a high. The nurse recognizes this as
Correct Answer: C
Rationale:
Tolerance is the need for increasing doses to achieve the same effect, as described in the client’s heroin use.