NCLEX-RN
NCLEX RN Practice Test Free Questions
Extract:
Question 1 of 5
A client recently started on hemodialysis wants to know how the dialysis will take the place of his kidneys. The nurse's response is based on the knowledge that hemodialysis works by:
Correct Answer: D
Rationale: Hemodialysis filters waste products and excess fluids through a dialyzing membrane, mimicking kidney function.
Question 2 of 5
The doctor has ordered 80 mg of furosemide (Lasix) two times per day. The nurse notes the patient's potassium level to be 2.5 meq/L. The nurse should:
Correct Answer: D
Rationale: A potassium level of 2.5 mEq/L is dangerously low; withholding Lasix and notifying the doctor prevents further potassium loss.
Question 3 of 5
A nursing instructor is preparing a lesson on the dangers of using drugs and alcohol during pregnancy. She would include which of the following as a primary disability associated with children diagnosed with fetal alcohol syndrome?
Correct Answer: A
Rationale: Fetal alcohol syndrome causes primary disabilities like poor motor skills due to neurological damage. Promiscuity, dependency, and depression are not primary effects.
Question 4 of 5
A client in the ICU is given procainamide HCl (Pronestyl) slowly IV push. The nurse should withhold the next dose of this medication and notify the physician if which of the following is observed on the cardiac monitor?
Correct Answer: D
Rationale: prolongation of the QT interval is a side effect that can lead to torsades de pointes, a life-threatening arrhythmia
Question 5 of 5
The nurse is administering an intermittent tube feeding to a client through a nasogastric tube. Which of the following positions is optimal for tube feedings?
Correct Answer: A
Rationale: Elevating the head of the bed to 45° (
A) during tube feedings reduces the risk of aspiration and promotes digestion. A 90° elevation (
B) is excessive, 30° (
C) is insufficient, and a flat position (
D) increases aspiration risk.