NCLEX-RN
NCLEX-RN Exam Questions
Extract:
Question 1 of 5
A dose of theophylline may need to be altered if a client with COPD:
Correct Answer: D
Rationale: The effects of morphine or an allergic response to the drug will not affect theophylline clearance. Xanthines are used cautiously in clients with severe cardiac disease, liver disease, cor pulmonale, hypertension, or hyperthyroidism. Arthritis does not influence the dosage of theophylline. Theophylline does not cause sedation or drowsiness. Conversely, its side effects may be exhibited by central nervous system stimulation. Cimetidine decreases theophylline clearance from the system and increases theophylline levels in the blood, thus increasing the risk of toxicity.
Question 2 of 5
A 26-year-old client is diagnosed with an astrocytoma, a benign brain tumor. From the nurse's knowledge of the central nervous system, the nurse knows that benign tumors:
Correct Answer: A
Rationale: Both a benign and a malignant tumor can displace or destroy nearby structures or increase intracranial pressure.
Question 3 of 5
A child is to receive heparin sodium five units per kilogram of body weight by subcutaneous route every four hours. The child weighs 52.8 lb. How many units should the child receive in a 24 hour period?
Correct Answer: 720
Rationale: Weight: 52.8 lb ÷ 2.2 = 24 kg. Dose: 5 units/kg × 24 kg = 120 units/dose. Frequency: every 4 hours = 6 doses/day.
Total: 120 × 6 = 720 units.
Question 4 of 5
The registered nurse is assigning staff for four clients on the 3-11 shift. Which client should be assigned to the LPN?
Correct Answer: C
Rationale: A pneumonia client expecting discharge is stable and suitable for an LPN’s scope (e.g., monitoring, discharge prep). ARDS (
A), recent surgery (
B), and bleeding varices (
D) require RN-level care.
Question 5 of 5
The nurse enters the room of a client on which a 'do not resuscitate' order has been written and discovers that she is not breathing. Once the husband realizes what has occurred he yells, 'please save her!' The nurse's action would be:
Correct Answer: D
Rationale: (A, B,
C) The last request from the husband overrides the decision not to initiate resuscitation efforts. The nurse should begin cardiopulmonary resuscitation unless a living will and durable power of attorney are in force. In the meantime, the nurse should talk with the husband and notify the doctor.