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
Following application of a right BK prosthesis for an amputated limb, the client returns for evaluation, and the nurse notes that the client has an unstable gait and the right hip and knee are showing signs of slight flexion contractures. The client admits to infrequent use of the prosthesis. Which of the following interventions are most indicated? Select all that apply.
Correct Answer: A,B,D
Rationale: Sympathetic encouragement (
A), retraining (
B), and counseling (
D) address infrequent use and contractures constructively. Chastising (
C) is non-therapeutic and demotivating.
Question 3 of 5
A client with a stroke and malnutrition has been placed on Total Parenteral Nutrition (TPN). The nurse notes air entering the client via the central line. Which initial action is most appropriate?
Correct Answer: C
Rationale: Air embolism requires placing the client in the left lateral decubitus position with the head down to trap air in the right atrium, preventing further embolization. This is the priority action.
Question 4 of 5
The home health nurse is scheduled to visit four clients. Which client should she visit first?
Correct Answer: A
Rationale: The AIDS client with fever and cough may have an acute infection like pneumonia, requiring urgent assessment.
Question 5 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.