NCLEX-RN
Free NCLEX RN Practice Test Questions
Extract:
Question 1 of 5
A nurse is floated to oncology from the postsurgical floor. The assigned client is almost finished with an infusion of doxorubicin for breast cancer. The floated nurse is not chemotherapy certified. Which nursing action is the priority in this situation?
Correct Answer: D
Rationale: The priority is to inform the charge nurse of the lack of chemotherapy certification, as doxorubicin requires specialized handling and monitoring.
Question 2 of 5
A client taking the drug disulfiram (Antabuse) is admitted to the ER. Which clinical manifestations are most indicative of recent alcohol ingestion?
Correct Answer: A
Rationale: Disulfiram causes a severe reaction with alcohol, including vomiting, tachycardia (HR 120), and chest pain due to acetaldehyde accumulation, making these symptoms most indicative.
Question 3 of 5
The nursing team includes two RNs, one LPN/LVN, and one nursing assistant. The nurse should consider the assignments appropriate if the nursing assistant is assigned to care for
Correct Answer: A
Rationale: standard, unchanging procedure
Question 4 of 5
The client is admitted for evaluation of aggressive behavior and diagnosed with antisocial personality disorder. A key part of the care of such clients is:
Correct Answer: A
Rationale: Setting realistic limits helps manage the manipulative and impulsive behaviors common in antisocial personality disorder, promoting safety and structure.
Question 5 of 5
Following surgical repair of a fractured femur, a client's hemoglobin falls to 7.4 and the physician orders one unit of packed red blood cells (250 mL) to be administered over two hours with a drop factor of 10 drops/mL. What flow rate (drops per minute) is needed? Record by rounding to the nearest whole number.
Correct Answer: 21
Rationale:
To calculate the flow rate: (Volume X Drop factor)/ Time in minutes. Volume is 250 mL, drop factor is 10 drops/mL, time is 2 hours = 120 minutes. Thus, (250 X 10)/ 120 = 2,500/ 120 ≈ 20.83, rounded to 21 drops/minute.