NCLEX-RN
Practice NCLEX RN Test Questions
Extract:
Question 1 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 2 of 5
A gravida II para 0 is admitted to the labor and delivery unit. The doctor performs an amniotomy. Which observation would the nurse expect to make immediately after the amniotomy?
Correct Answer: B
Rationale: A moderate amount of clear amniotic fluid is expected after an amniotomy, indicating normal rupture of membranes.
Question 3 of 5
A client requires long-term use of corticosteroids. The nurse explains which of the following is associated with chronic corticosteroid therapy?
Correct Answer: D
Rationale: Chronic corticosteroid use causes osteoporosis due to bone density loss. Weight gain (not inability), not fever or hypotension, is more common.
Question 4 of 5
The physician has made a diagnosis of 'shaken child' syndrome for a 13-month-old who was brought to the emergency room after a reported fall from his highchair. Which finding supports the diagnosis of 'shaken child' syndrome?
Correct Answer: C
Rationale: Retinal hemorrhages are a hallmark of shaken baby syndrome due to the shearing forces from violent shaking causing bleeding in the retina.
Question 5 of 5
An elderly female is admitted with a fractured right femoral neck. Which clinical manifestation would the nurse expect to find?
Correct Answer: D
Rationale: A femoral neck fracture typically causes shortening of the affected leg due to muscle contraction pulling the bone fragments together, along with external rotation and limited movement.