NCLEX-RN
NCLEX RN Practice Questions
Extract:
Question 1 of 5
A client with a fractured tibia has a plaster-of-Paris cast applied to immobilize the fracture. Which action by the nurse indicates understanding of a plaster-of-Paris cast? The nurse:
Correct Answer: D
Rationale: Allowing 24 hours for the cast to dry prevents damage and ensures proper immobilization.
Question 2 of 5
The nurse is caring for the client receiving Amphotericin B. Which of the following indicates that the client has experienced toxicity to this drug?
Correct Answer: B
Rationale: Nausea is a common sign of amphotericin B toxicity, often accompanied by fever and chills.
Question 3 of 5
A client has orders for ampicillin 350 mg IM daily. The directions state to reconstitute with 3.5 mL of sterile water for a concentration of 500 mg/mL. How much will the nurse give?
Correct Answer: 0.7 mL
Rationale: Concentration: 500 mg/mL. Dose: 350 mg. Volume = 350 mg ÷ 500 mg/mL = 0.7 mL.
Question 4 of 5
A medication error has occurred, and the client has received double the ordered dosage of magnesium sulfate. The nurse anticipates the physician will order what medication STAT?
Correct Answer: D
Rationale: Magnesium sulfate overdose causes hypermagnesemia, treated with calcium gluconate to counteract toxicity (e.g., respiratory depression, hypotension).
Question 5 of 5
The nurse is teaching a client with a new diagnosis of chronic lymphocytic leukemia about infection prevention. Which of the following instructions should the nurse include?
Correct Answer: A
Rationale: avoiding crowds and sick individuals reduces the risk of infection in immunocompromised clients