NCLEX-RN
Practice NCLEX RN Test Questions
Extract:
Question 1 of 5
A patient with hypothyroidism states that she takes Synthroid® 0.112 mg daily, but the pharmacy has issued the drug labeled in micrograms. How many micrograms of Synthroid® is equivalent to 0.112 mg? Record your answer using a whole number.
Correct Answer: 112
Rationale:
To convert milligrams to micrograms, multiply by 1,000: 0.112 mg X 1,000 = 112 micrograms.
Question 2 of 5
The nurse is interviewing a client with clinical depression. Which of the following risk factors would the nurse expect to find in the client's history? Select all that apply.
Correct Answer: B, C
Rationale: Family history of depression and recent major life changes are known risk factors for clinical depression. A normal childhood is not a risk factor, and Lipitor treats cholesterol, not blood pressure.
Question 3 of 5
The nurse is aware that the best way to prevent post-operative wound infection in the surgical client is to:
Correct Answer: B
Rationale: Hand washing is the most effective measure to prevent postoperative wound infections.
Question 4 of 5
The physician has ordered sublingual nitroglycerin for a client. Which of the following are contraindications for administration of sublingual or buccal medications? Select all that apply.
Correct Answer: C,D
Rationale: Red, irritated mucous membranes (
C) and dehydration (
D) impair sublingual absorption. Edentulous state (
A), mild dementia (
B), and aphasia (E) do not contraindicate sublingual administration.
Question 5 of 5
The nurse should carefully monitor the client for which common dysrhythmia that can occur during suctioning?
Correct Answer: A
Rationale: Suctioning can stimulate the vagus nerve, leading to bradycardia due to parasympathetic activation, especially in clients with tracheostomies or endotracheal tubes.