NCLEX-RN
NCLEX RN Practice Test Questions
Extract:
Question 1 of 5
A client has an order for Demerol 75 mg and atropine 0.4 mg IM as a preoperative medication. The Demerol vial contains 50 mg/mL, and atropine is available 0.4 mg/mL. How many milliliters will the nurse administer in total?
Correct Answer: C
Rationale: Demerol: 75 mg ÷ 50 mg/mL = 1.5 mL. Atropine: 0.4 mg ÷ 0.4 mg/mL = 1 mL.
Total = 1.5 mL + 1 mL = 2.5 mL.
Question 2 of 5
The nurse is assessing the chart of a client with a stroke. MRI results reveal a hemorrhagic stroke to the brain. Which physician prescription would the nurse question?
Correct Answer: C
Rationale: Heparin is contraindicated in hemorrhagic stroke due to the risk of worsening bleeding, making this prescription inappropriate and requiring clarification.
Question 3 of 5
The nurse is assessing a 6-year-old following a tonsillectomy. Which one of the following signs is an early indication of hemorrhage?
Correct Answer: A
Rationale: Drooling of bright red secretions indicates active bleeding, a critical sign of post-tonsillectomy hemorrhage requiring immediate attention.
Question 4 of 5
A client with a peptic ulcer had a partial gastrectomy and vagotomy (Billroth I). In planning the discharge teaching, the client should be cautioned by the nurse about which of the following?
Correct Answer: D
Rationale: basic guidelines to teach a postgastrectomy client are measures to prevent dumping syndrome, which include: lying down for 30 minutes after meals, drinking fluids between meals, and reducing intake of carbohydrates
Question 5 of 5
The nurse is caring for a client with a history of liver cirrhosis who is admitted with ascites. Which of the following interventions should the nurse implement?
Correct Answer: B
Rationale: furosemide is a diuretic used to reduce ascites in liver cirrhosis