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
The 6-month-old client with a ventral septal defect is receiving Digitalis for regulation of his heart rate. Which finding should be reported to the doctor?
Correct Answer: C
Rationale: A heart rate of 60 bpm in a 6-month-old is too low (normal is 80-160 bpm), indicating possible digitalis toxicity, which should be reported.
Question 3 of 5
A nurse from the dialysis unit floats to the med-surg floor. He is doing afternoon rounds and medication administration. He brings a client her oral medications, but the client states, 'What is this? Where is my yellow pill? This big white one is not mine.' The best action from the nurse is to
Correct Answer: A
Rationale: Verifying with the MAR and pharmacy ensures medication safety when a client questions a pill’s appearance, preventing potential errors.
Question 4 of 5
The nurse is caring for a manic client in the seclusion room, and it is time for lunch. It is MOST appropriate for the nurse to take which of the following actions?
Correct Answer: D
Rationale: should eat at regular time; remain in the seclusion room for client’s safety
Question 5 of 5
Which of the following are important factors in facilitating attachment between a newborn and mother?
Correct Answer: A,B,D
Rationale: Rooming in (
A), swaddling/holding (
B), and early breastfeeding (
D) promote bonding. Childcare knowledge (
C) is less directly related to attachment.