NCLEX-RN
NCLEX RN Practice Exam Questions
Extract:
Question 1 of 5
A client with cocaine addiction would most likely be placed on which medication?
Correct Answer: A
Rationale: Amantadine is sometimes used to reduce cravings in cocaine addiction by modulating dopamine pathways, unlike the other options, which are used for different substance dependencies.
Question 2 of 5
The nurse is reflecting on the client-nurse relationship. Which statement is correct regarding the orientation (introductory) phase of the relationship?
Correct Answer: A
Rationale: The orientation phase focuses on establishing trust and identifying the client’s strengths and limitations to guide care.
Question 3 of 5
A client is to receive 1,000 mL of potassium chloride in 5% dextrose injection (D5W) intravenously over 3 hours and 20 minutes using a drop factor of 15 drops/mL. What is the required flow rate (drops) per minute? Record your answer using a whole number.
Correct Answer: 75
Rationale:
To calculate the flow rate in drops per minute, use the formula: (
Total volume X Drop factor)/
Total time in minutes. The total volume is 1,000 mL, the drop factor is 15 drops/mL, and the time is 3 hours 20 minutes = 200 minutes. Thus, (1,000 X 15)/ 200 = 15,000/ 200 = 75 drops/minute.
Question 4 of 5
A nurse has delegated care of a client in wrist restraints to a nursing assistant. The nursing assistant should check the skin circulation under the restraints at least
Correct Answer: C
Rationale: Restraints require circulation checks every 1-2 hours to prevent skin breakdown or neurovascular injury. Hourly checks (
C) balance safety and practicality.
Question 5 of 5
The physician has ordered Claforan (cefotaxime) 1 g every 6 hours. The pharmacy sends the medication premixed in 100 mL of D5W with instructions to infuse the medication over 1 hour. The IV set delivers 20 drops per milliliter. The nurse should set the IV rate at:
Correct Answer:
Rationale: