NCLEX-RN
NCLEX RN Practice Questions Questions
Extract:
Question 1 of 5
A nurse is working with an immobile client and doing passive range-of-motion (ROM) exercises on his legs. The client states the exercise is too painful and does not want to continue. The nurse should
Correct Answer: D
Rationale: Pain during ROM exercises may indicate injury. Stopping the exercise prevents harm, with further assessment or pain management to follow.
Question 2 of 5
The mother of a 6-month-old asks when her child will have all his baby teeth. The nurse knows that most children have all their primary teeth by age:
Correct Answer: D
Rationale: Most children have all 20 primary teeth by 30 months, with eruption typically completing between 2-3 years.
Question 3 of 5
The client is admitted with chronic obstructive pulmonary disease. Blood gases reveal pH 7.36, CO2 45, O2 84, bicarb 28. The nurse would assess the client to be in:
Correct Answer: C
Rationale: Normal pH with elevated CO2 and bicarbonate indicates compensated respiratory acidosis, typical in COPD.
Question 4 of 5
The doctor has ordered Ampicillin 100 mg every 6 hours IV push for an infant weighing 7 kg. The suggested dose for infants is 25-50 mg/kg/day in equally divided doses. The nurse should:
Correct Answer: D
Rationale: The ordered dose (400 mg/day) exceeds the safe range (175-350 mg/day for a 7 kg infant), requiring the nurse to verify the order with the doctor.
Question 5 of 5
The nurse is caring for a client with epilepsy who is being treated with carbamazepine (Tegretol). Which laboratory value might indicate a serious side effect of this drug?
Correct Answer: C
Rationale: Carbamazepine can cause bone marrow suppression, leading to leukopenia. A WBC of 4,000/mm^3 is low, indicating a potential serious side effect requiring further evaluation.