NCLEX-RN
NCLEX RN Practice Questions
Extract:
Question 1 of 5
A nurse manager and a case manager are talking to a group of new nurses about the differences of case management and care coordination. The nurse manager understands which to be true regarding the differences?
Correct Answer: C
Rationale: Case management focuses on holistic care and client-family dynamics, coordinating resources to meet complex needs. Other options are less accurate or incomplete.
Question 2 of 5
The Z-track injection technique should be used with which of the following? Select all that apply.
Correct Answer: A,B,D
Rationale: Z-track is used for iron (
A), haloperidol (
B), and hydroxyzine (
D) to prevent leakage and irritation. Heparin (
C) and insulin (E) use standard subcutaneous techniques.
Question 3 of 5
A client arrives at the emergency department in her third trimester of pregnancy with painless vaginal bleeding. Which condition is suspected?
Correct Answer: C
Rationale: Painless vaginal bleeding in the third trimester is characteristic of placenta previa, where the placenta covers the cervix.
Question 4 of 5
A client is prescribed 0.25 mg terbutaline subcutaneously, but the medication is provided as 1 mg/mL. How much medication is needed to provide the correct dosage? Record your answer using a decimal to two places.
Correct Answer: 0.25
Rationale: Dose required = 0.25 mg. Concentration is 1 mg/mL, so volume = 0.25 m/1 mg/mL = 0.25 mL.
Question 5 of 5
A client diagnosed with COPD is receiving theophylline. Morning laboratory values reveal a theophylline level of 38 mcg/mL. The most appropriate action by the nurse would be to:
Correct Answer: B
Rationale: A theophylline level of 38 mcg/mL is toxic (therapeutic range: 10-20 mcg/mL), requiring immediate physician notification to prevent complications like seizures.