NCLEX-RN
NCLEX RN Practice Test Questions
Extract:
Question 1 of 5
A nurse has been hired by a company to educate employees on health risks. Which of the following may suggest substance abuse by certain employees in the workplace? Select all that apply.
Correct Answer: A,C
Rationale: Frequent call-ins, tardiness, and poor performance evaluations are behavioral indicators of potential substance abuse. Taking allocated breaks, socializing after work, or eating alone are not typically associated with substance abuse.
Question 2 of 5
The clinical triad of abnormalities seen in serotonin syndrome includes all of the following EXCEPT
Correct Answer: D
Rationale: Serotonin syndrome involves cognitive (confusion), autonomic (fever, sweating), and somatic (tremors, rigidity) effects. Behavioral effects are not part of the classic triad.
Question 3 of 5
A client weighing 150 pounds has received burns over 50% of his body at 1200 hours. Using the Parkland formula, calculate the expected amount of fluid that the client should receive by 2000 hours.
Correct Answer: B
Rationale: Parkland formula: 4 mL × kg × % TBSA. Weight = 150 lb ÷ 2.2 = 68 kg. 4 × 68 × 50 = 13,600 mL total. Half (6,800 mL) is given in the first 8 hours (1200 to 2000).
Question 4 of 5
An elderly client is diagnosed with interstitial cystitis. Which finding differentiates interstitial cystitis from other forms of cystitis?
Correct Answer: B
Rationale: Interstitial cystitis is characterized by chronic pelvic pain and urinary symptoms with sterile urine, as it is not caused by bacterial infection, unlike other forms of cystitis.
Question 5 of 5
A 24-year-old female client is scheduled for surgery in the morning. Which of the following is the primary responsibility of the nurse?
Correct Answer: B
Rationale: Obtaining the signed consent form is the nurse's primary responsibility to ensure informed consent before surgery.