NCLEX-RN
Practice NCLEX RN Test Questions
Extract:
Question 1 of 5
A client with preeclampsia has been receiving an infusion containing magnesium sulfate for a blood pressure that is 160/80; deep tendon reflexes are 1 plus, and the urinary output for the past hour is 100 mL. The nurse should:
Correct Answer: A
Rationale: The parameters (BP 160/80, 1+ reflexes, 100 mL urine output) are within acceptable limits, so the infusion should continue.
Question 2 of 5
The mother of a child with chickenpox wants to know if there is a medication that will shorten the course of the illness. Which medication is sometimes used to speed healing of the lesions and shorten the duration of fever and itching?
Correct Answer: A
Rationale: Acyclovir can reduce the severity and duration of chickenpox symptoms if started early, particularly in high-risk patients.
Question 3 of 5
A client requires long-term use of corticosteroids. The nurse explains which of the following is associated with chronic corticosteroid therapy?
Correct Answer: D
Rationale: Chronic corticosteroid use causes osteoporosis due to bone density loss. Weight gain (not inability), not fever or hypotension, is more common.
Question 4 of 5
A 3-year-old is immobilized in a hip spica cast. Which discharge instruction should be given to the parents?
Correct Answer: D
Rationale: Tucking a diaper beneath the cast at the perineal opening helps keep the cast clean and prevents skin irritation.
Question 5 of 5
The nurse is caring for a client receiving IV vancomycin. The trough level is 14 mcg/mL. The next dose is now due. What is the correct response by the nurse?
Correct Answer: A
Rationale: A vancomycin trough of 14 mcg/mL is within the therapeutic range (10-20 mcg/mL), so the next dose can be given as ordered.