NCLEX-RN
Free NCLEX RN Practice Test Questions
Extract:
Question 1 of 5
A diabetic client self-administers insulin four times daily. Which of the following statements by the client indicates the need for further education?
Correct Answer: A
Rationale: Flushing needles down the toilet (
A) is unsafe and improper disposal; needles should be placed in a sharps container. Carrying glucose tablets (
B), occasional desserts (
C), and avoiding sandals (
D) are appropriate for diabetes management.
Question 2 of 5
The Joint Commission for Accreditation of Hospital Organizations (JCAHO) specifies that two client identifiers are to be used before administering medication. Which method is best for identifying patients using two patient identifiers?
Correct Answer: A
Rationale: Comparing the MAR with the client's armband name and medical number ensures accurate identification using two reliable identifiers.
Question 3 of 5
A client receiving Vancocin (vancomycin) has a serum level of 20 mcg/mL. The nurse knows that the therapeutic range for vancomycin is:
Correct Answer: B
Rationale: The therapeutic range for vancomycin is 10-25 mcg/mL, ensuring efficacy while minimizing toxicity; a level of 20 mcg/mL is within this range.
Question 4 of 5
The nurse assesses a new order for a blood transfusion. The order is to transfuse 1 unit of packed red blood cells (contains 250 mL) in a 2-hour period. What will be the hourly rate of infusion?
Correct Answer: C
Rationale:
To calculate the hourly rate: 250 mL ÷ 2 hours = 125 mL/hr, ensuring the transfusion is completed within the prescribed time.
Question 5 of 5
A client diagnosed with Alzheimer's disease initiates the same conversation repeatedly, becomes aggressive when stressed, needs reminders to perform ADLs, and is easily lost in his neighborhood. This client is likely in what stage of Alzheimer's disease?
Correct Answer: C
Rationale: Moderate Alzheimer's involves repetitive behaviors, aggression, ADL dependence, and disorientation, as described, indicating significant cognitive decline.