NCLEX-RN
NCLEX RN Practice Questions PDF Questions
Extract:
Question 1 of 5
A client was to receive 1 g of vancomycin intravenously in 200 mL of iso-osmotic solution over 60 minutes per infusion pump. However, the IV administration was discontinued after 45 minutes because the client developed nausea and chills. How many milligrams of vancomycin did the client receive? Record your answer using a whole number.
Correct Answer: 750
Rationale: 1 g = 1000 mg in 200 mL over 60 min. In 45 min, 45/60 = 0.75 of dose = 0.75 X 1000 = 750 mg.
Question 2 of 5
A 5-month-old infant is admitted to the ER with a temperature of 103.6°F and irritability. The mother states that the child has been listless for the past several hours and that he had a seizure on the way to the hospital. A lumbar puncture confirms a diagnosis of bacterial meningitis. The nurse should assess the infant for:
Correct Answer: B
Rationale: Tenseness of the anterior fontanel indicates increased intracranial pressure, a critical finding in bacterial meningitis in infants.
Question 3 of 5
A 5-month-old is diagnosed with atopic dermatitis. Nursing interventions will focus on:
Correct Answer: A
Rationale: Atopic dermatitis involves inflamed skin prone to infection, so preventing infection through gentle skin care and monitoring is a priority.
Question 4 of 5
An 88-year-old client fractured a hip after a fall in her home. Because of her peripheral vascular disease and asthma, surgery is not an option. The client tells the nurse she does not know how she is going to get better. Which response by the nurse is best?
Correct Answer: C
Rationale: This response encourages the client to express her concerns, allowing the nurse to address specific fears and provide tailored support.
Question 5 of 5
Clients taking anticholinergic drugs, such as benztropine mesylate (Cogentin), to relieve muscle tremors and muscle rigidity associated with Parkinson disease should be advised to avoid which of the following?
Correct Answer: A
Rationale: Anticholinergics like benztropine reduce sweating, increasing the risk of overheating (
A). Overeating (
B), excessive fluids (
C), or skipping meals (
D) are not directly related to anticholinergic side effects.