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NCLEX RN Practice Exam Questions

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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

Nimotop (Nimodipine) is ordered for the client with a ruptured cerebral aneurysm. The nurse recognizes that the desired effect of this drug is to:

Correct Answer: A

Rationale: Nimodipine is a calcium channel blocker that prevents calcium influx into vascular smooth muscle cells, reducing vasospasm in cerebral arteries, which is critical in managing ruptured cerebral aneurysms.

Question 3 of 5

The emergency room is flooded with clients injured in a tornado. Which clients can be assigned to share a room in the emergency department during the disaster?

Correct Answer: B

Rationale: The pregnant client and the client with facial lacerations/broken arm have stable conditions suitable for sharing a room, unlike the other pairs with critical or incompatible needs.

Question 4 of 5

The nurse is preparing to administer levofloxacin (Levaquin) 400 mg orally to a client with a urinary tract infection. Which statement by the client requires further teaching by the nurse?

Correct Answer: C

Rationale: Antacids can reduce levofloxacin absorption and should be taken at least 2 hours apart. Other statements are correct.

Question 5 of 5

The nurse is preparing a client for cervical uterine radiation implant insertion. Which will be included in the teaching plan?

Correct Answer: B

Rationale: A Foley catheter is inserted during cervical radiation implants to keep the bladder empty, reducing radiation exposure to nearby organs. The other options are incorrect or irrelevant.

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The nurse is caring for a client admitted with chest pain and atrial fibrillation. The nurse accidentally gives the client the wrong dose of digoxin. The client is monitored throughout the shift and no ill effects are noted. Which actions by the nurse are correct? Select all that apply.
The nurse is teaching a client with an orthotopic bladder replacement. The nurse should tell the client to:

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