NCLEX-RN
NCLEX RN Practice Test Questions
Extract:
Question 1 of 5
A client weighing 150 pounds has received burns over 50% of his body at 1200 hours. Using the Parkland formula, calculate the expected amount of fluid that the client should receive by 2000 hours.
Correct Answer: B
Rationale: Parkland formula: 4 mL × kg × % TBSA. Weight = 150 lb ÷ 2.2 = 68 kg. 4 × 68 × 50 = 13,600 mL total. Half (6,800 mL) is given in the first 8 hours (1200 to 2000).
Question 2 of 5
A 62-year-old female comes to the clinic with the complaint that her vision seems cloudy. What other signs and symptoms may the client mention that are suggestive of cataracts? Select all that apply.
Correct Answer: C,E
Rationale: Cataracts cause cloudy vision, difficulty with night vision, and halos around lights. Diplopia, nausea, or eye pain are not typical.
Question 3 of 5
While performing a neurological assessment on a client with a closed head injury, the nurse notes a positive Babinski reflex. The nurse should:
Correct Answer: D
Rationale: A positive Babinski reflex in an adult with a head injury suggests neurological damage, warranting immediate physician notification.
Question 4 of 5
The nurse is caring for a client with suspected meningitis who will be having a lumbar puncture. Which statement regarding aftercare is correct?
Correct Answer: D
Rationale: Post-lumbar puncture care includes assessing for neurological changes, pain, drainage, and voiding to detect complications like nerve injury or CSF leak.
Question 5 of 5
The nurse is assessing a 6-year-old following a tonsillectomy. Which one of the following signs is an early indication of hemorrhage?
Correct Answer: A
Rationale: Drooling of bright red secretions indicates active bleeding, a critical sign of post-tonsillectomy hemorrhage requiring immediate attention.