NCLEX-RN
NCLEX RN Practice Test Free Questions
Extract:
Question 1 of 5
A client seen in the emergency department for influenza asks for an antibiotic prescription. Which of the following guidelines are important in helping the client decrease the risk of developing an antibiotic-resistant infection? Select all that apply.
Correct Answer: B,C,D
Rationale: Avoid antibiotics for viral infections (
B), avoid prophylactic antibiotics (
C), and follow prescription directions (
D) reduce resistance. Stopping early (
A) or reusing antibiotics (E) promotes resistance.
Question 2 of 5
The nurse is caring for a client with a head injury who has an intracranial pressure monitor in place. Assessment reveals an ICP reading of 66. What is the nurse's best action?
Correct Answer: A
Rationale: An ICP of 66 mmHg is critically high (normal <20 mmHg), indicating severe brain swelling. Notifying the physician is urgent for immediate intervention.
Question 3 of 5
A client is receiving hospice and palliative care, including analgesia and other comfort measures. Which of the following indicates the client is undergoing life review? Select all that apply.
Correct Answer: A,C
Rationale: Looking at photos (
A) and reminiscing about parenting (
C) indicate life review, reflecting on past experiences. Other statements (B, D, E) relate to pain or end-of-life wishes.
Question 4 of 5
A client with a head injury has an intracranial pressure (ICP) monitor in place. Cerebral perfusion pressure calculations are ordered. If the client's ICP is 22 and the mean pressure reading is 70, what is the client's cerebral perfusion pressure?
Correct Answer: D
Rationale: Cerebral perfusion pressure (CPP) = Mean Arterial Pressure (MAP) - ICP. Given MAP = 70 and ICP = 22, CPP = 70 - 22 = 48. Thus, the answer is 48.
Question 5 of 5
A child is admitted to the emergency room following ingestion of a bottle of Children's Tylenol. The nurse is aware that Tylenol poisoning is treated with:
Correct Answer: A
Rationale: Acetylcysteine is the antidote for acetaminophen (Tylenol) overdose, protecting the liver from toxicity.