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 2-year-old is admitted for repair of a fractured femur and is placed in Bryant's traction. Which finding by the nurse indicates that the traction is working properly?
Correct Answer: B
Rationale: In Bryant's traction, the buttocks should be slightly elevated (15° off the bed) to ensure proper alignment.
Question 3 of 5
Place the following metric capacity measures (in Roman numerals) in the correct position from smallest to largest. I. Deciliter II. Milliliter III. Dekaliter IV. Kiloliter. V. Hectoliter.
Order the Items
Source Container
Correct Answer: B,A,E,C,D
Rationale: The correct order from smallest to largest is: Milliliter (II), Deciliter (I), Hectoliter (V), Dekaliter (III), Kiloliter (IV), fitting the table positions with Centiliter (
A) and Liter (
B) as reference points.
Question 4 of 5
The nurse is caring for a client with a basal cell epithelioma. The primary cause of basal cell epithelioma is:
Correct Answer: A
Rationale: Basal cell epithelioma is primarily caused by prolonged sun exposure.
Question 5 of 5
The nurse is performing discharge instruction to a client with an implantable defibrillator. What discharge instruction is essential?
Correct Answer: C
Rationale: Using a cell phone on the opposite side of the defibrillator reduces electromagnetic interference with the device.