NCLEX-RN
Free NCLEX RN Practice Test Questions
Extract:
Question 1 of 5
An elderly adult has been admitted with a diagnosis of hypertension with a history of dementia. Which of the following nursing diagnoses has the highest priority for this client?
Correct Answer: D
Rationale: Dementia increases fall and injury risk due to impaired judgment and memory, making 'risk for injury' the priority.
Question 2 of 5
A teenage client tells the nurse about her plans to be a lifeguard this summer. The nurse would be concerned if she saw the client was taking which medication? Select all that apply.
Correct Answer: B
Rationale: Isotretinoin (Accutane) causes photosensitivity, increasing sunburn risk, which is concerning for a lifeguard exposed to sunlight. Other medications do not pose significant outdoor risks.
Question 3 of 5
The nurse assesses a new order for a blood transfusion. The order is to transfuse 1 unit of packed red blood cells (contains 250 mL) in a 2-hour period. What will be the hourly rate of infusion?
Correct Answer: C
Rationale:
To calculate the hourly rate: 250 mL ÷ 2 hours = 125 mL/hr, ensuring the transfusion is completed within the prescribed time.
Question 4 of 5
The nurse knows that a 60-year-old female client's susceptibility to osteoporosis is most likely related to:
Correct Answer: B
Rationale: Hormonal changes, particularly estrogen loss post-menopause, are the primary cause of osteoporosis in women.
Question 5 of 5
A client with cirrhosis has developed signs of heptorenal syndrome. Which diet is most appropriate for the client at this time?
Correct Answer: C
Rationale: Low protein and low sodium diets reduce the burden on the liver and kidneys in hepatorenal syndrome.