NCLEX-RN
NCLEX RN Practice Exam Questions
Extract:
Question 1 of 5
A client has orders for a heparin drip with 20,000 units in a 250 mL bag. The heparin must be delivered at 854 units per hour. What rate will the nurse set for the IV?
Correct Answer: 10.7 mL/hr.
Rationale: Concentration: 20,000 units/250 mL = 80 units/mL. Rate: 854 units/hr ÷ 80 units/mL = 10.675 mL/hr, rounded to 10.7 mL/hr.
Question 2 of 5
A client with mania is unable to finish her dinner. To help her maintain sufficient nourishment, the nurse should:
Correct Answer: A
Rationale: High-calorie, portable foods accommodate the restlessness and distractibility of mania, ensuring adequate nutrition.
Question 3 of 5
Arterial ulcers are best described as ulcers that:
Correct Answer: D
Rationale: Arterial ulcers are typically painful due to poor blood flow and tissue ischemia.
Question 4 of 5
The nurse is teaching feeding protocol to the spouse of a client who experienced a severe stroke. Which statement by the spouse indicates a need for further explanation by the nurse?
Correct Answer: B
Rationale: Turning on the television during meals can distract the client, increasing the risk of aspiration, and requires further teaching. Other statements are appropriate.
Question 5 of 5
The client is admitted following repair of a fractured tibia and cast application. Which nursing assessment should be reported to the doctor?
Correct Answer: C
Rationale: Weak and rapid pedal pulses suggest compromised circulation, which requires immediate reporting to prevent complications like compartment syndrome.