NCLEX-RN
NCLEX RN Practice Test Questions
Extract:
Question 1 of 5
A new nurse has just completed orientation and is working on the medical unit. The new nurse is shadowing the charge nurse as they both care for a client with a potassium level of 6.3 mEq/L. Which action by the new nurse requires intervention by the charge nurse?
Correct Answer: A
Rationale: Spironolactone is a potassium-sparing diuretic and could worsen hyperkalemia (potassium 6.3 mEq/L). The other actions are appropriate for managing hyperkalemia or general care.
Question 2 of 5
A hospice client is to receive 4 mg of morphine sulfate (MS) subcutaneously from a vial that contains 10 mg/mL. How many milliliters of MS should the patient receive to equal a dose of 4 mg? Record your answer using one decimal place.
Correct Answer: 0.4
Rationale: Dose = 4 mg, concentration = 10 mg/mL. Volume = 4 m/10 mg/mL = 0.4 mL.
Question 3 of 5
The nurse is talking with a client who has been diagnosed with thyroid cancer. The client is asking about different treatment options. Which response by the nurse is most appropriate?
Correct Answer: C
Rationale: This response encourages open communication and assesses the client's current knowledge, facilitating a patient-centered discussion about treatment options.
Question 4 of 5
A nurse receives an order to dilute ceftriaxone sodium powder in a vial prior to administration. The nurse should ensure the powder is fully diluted by
Correct Answer: B
Rationale: Rolling the vial between the palms gently mixes the powder with the diluent, ensuring full dilution without creating air bubbles or denaturing the medication.
Question 5 of 5
The nurse understands that the diagnosis of oral cancer is confirmed with:
Correct Answer: A
Rationale: A biopsy provides definitive histological evidence of oral cancer, confirming the diagnosis.